Individual provider Active NPI

Cassandra Joan Goldberg, DC

  • Chiropractor
  • Coronado, CA
National Provider Identifier
1083328421
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36435 Issued in CA
Practice address
1109 8TH St
Coronado, CA 92118-2217
Phone
(619) 537-6833
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36435 CA Primary
Pediatric Chiropractor 111NP0017X 36435 CA

Addresses

Primary practice location

1109 8TH St
Coronado, CA 92118-2217

Mailing address

4 Bridgetown BND
Coronado, CA 92118-3258
Phone (619) 820-8477

Other practice location 1

4 Bridgetown Bnd
Coronado, CA 92118-3258
Phone (619) 820-8477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000585 CA Practitioner - Chiropractic 9739552183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1109 8TH St
Coronado, CA 92118-2217
Phone (619) 537-6833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36435CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldberg Pawsitive Touch Chiropractic P.C. Chiropractor CurrentSince Jan 25, 2023 Accepting new patients

Locations

1109 8th St
Coronado, CA 92118
Phone (619) 537-6833

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1083328421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIDGETOWN BND",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183258",
            "telephone_number": "619-820-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 8TH ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182217",
            "telephone_number": "619-537-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Bridgetown Bnd",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921183258",
            "country_code": "US",
            "telephone_number": "619-820-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "CASSANDRA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36435",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "36435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.