Organization Active NPI

David S Goldberg MD Inc

  • Plastic Surgery Physician
  • Monterey, CA
National Provider Identifier
1104063478
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G085126 Issued in CA
Legal business name
DAVID S GOLDBERG MD INC
Practice address
24591 Silver Cloud CT
Suite 150
Monterey, CA 93940-6549
Phone
(831) 649-3377
Fax
(831) 649-6725
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. David Stuart Goldberg, M.D.NPI 1962567966
Title
President
Phone
(831) 649-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G085126 CA Primary

Addresses

Primary practice location

24591 Silver Cloud CT
Suite 150
Monterey, CA 93940-6549

Mailing address

24591 Silver Cloud CT
Suite 150
Monterey, CA 93940-6549
Phone (831) 649-3377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000497 CA Part B Supplier - Clinic/Group Practice 9032269527 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

24591 Silver Cloud Ct
Ste 150
Monterey, CA 93940
Phone (831) 649-3377

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1104063478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24591 SILVER CLOUD CT",
            "address_2": "SUITE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406549",
            "telephone_number": "831-649-3377",
            "fax_number": "831-649-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24591 SILVER CLOUD CT",
            "address_2": "SUITE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406549",
            "telephone_number": "831-649-3377",
            "fax_number": "831-649-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S GOLDBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-649-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G085126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.