Active NPI
SL Goldberg MD a Medical Corporation
- Cardiovascular Disease Physician
- Monterey, CA
National Provider Identifier
1104562750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SL GOLDBERG MD A MEDICAL CORPORATION
- Practice address
- 880 Cass St Ste 108
Monterey, CA 93940-2948 - Phone
- (831) 649-9330
- Fax
- (831) 649-9335
- NPI assigned
- May 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven L Goldberg, MD
- Title
- Physician
- Phone
- (206) 734-8882
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
880 Cass St Ste 108
Monterey, CA 93940-2948
Mailing address
867 Via Mirada
Monterey, CA 93940-4615
Phone (206) 734-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548345374 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Great Falls, MT
- NPI 1548345374
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651795200000",
"number": "1104562750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 VIA MIRADA",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404615",
"telephone_number": "206-734-8882",
"fax_number": "831-649-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 CASS ST STE 108",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402948",
"telephone_number": "831-649-9330",
"fax_number": "831-649-9335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SL GOLDBERG MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "206-734-8882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548345374",
"state": "CA"
}
],
"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 May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.