Active NPI
Robert David Goldman, MD.
- MOHS-Micrographic Surgery Physician
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- G44889
- Practice address
- 23929 McBean Pkwy
Valencia, CA 91355-4466 - Phone
- (661) 290-5330
- Fax
- (661) 290-5331
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 19681 | WA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G44889 | CA | Primary |
Addresses
Primary practice location
23929 McBean Pkwy
Valencia, CA 91355-4466
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5637
Other practice location 1
701 E 28th St Ste 311
Long Beach, CA 90806-2780
Phone (562) 595-4777
Other practice location 2
24025 Park Sorrento Ste 405
Calabasas, CA 91302-4037
Phone (818) 222-2055
Other practice location 3
1127 Wilshire Blvd Ste 600
Los Angeles, CA 90017-3907
Phone (213) 278-0021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1256106 | Medicaid | WA | |
| 00G448890 | Medicaid | CA |
Other names 1
- Robert David Goldman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Southern California Keck School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24025 Park Sorrento
Suite 405
Calabasas, CA 91302-4037
Phone (818) 222-2055
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.34 of 100
- Quality
- 90.85
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 71.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 48 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44889 | CA | MD | General Practice Dentistry |
| G44889 | CA | MD | MOHS-Micrographic Surgery Physician |
| 19681 | WA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csi Medical Group | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Montage Medical Group | Past | Accepting new patients | |
| Overlake Medical Center & Clinics | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients | |
| Cary Edward Feibleman MD Inc | Past | Accepting new patients | |
| King County Public Hospital District No. 2 | Past | Accepting new patients |
Locations
24025 Park Sorrento
Ste 405
Calabasas, CA 91302
Phone (818) 222-2055
1030 Sir Francis Drake Blvd
Ste 110
Kentfield, CA 94904
Phone (415) 461-1036
701 E 28th St
Ste 311
Long Beach, CA 90806
Phone (562) 595-4777
1127 Wilshire Blvd
Ste 600
Los Angeles, CA 90017
Phone (213) 250-7735
1360 W 6th St
Ste 370
San Pedro, CA 90732
Phone (310) 519-8890
3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900
18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407
4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- drdgoldman@csinorthca.emadirect.md
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
-
- Dermatology Physician
- Long Beach, CA
- NPI 1982796389
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- Internal Medicine Physician
- Carmel, CA
- NPI 1770710709
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1104989649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5637",
"fax_number": "818-837-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23929 MCBEAN PKWY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554466",
"telephone_number": "661-290-5330",
"fax_number": "661-290-5331"
}
],
"practiceLocations": [
{
"address_1": "701 E 28th St Ste 311",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908062780",
"country_code": "US",
"telephone_number": "562-595-4777",
"fax_number": "562-424-9644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24025 Park Sorrento Ste 405",
"address_purpose": "LOCATION",
"city": "Calabasas",
"state": "CA",
"postal_code": "913024037",
"country_code": "US",
"telephone_number": "818-222-2055",
"fax_number": "818-222-2821",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1127 Wilshire Blvd Ste 600",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900173907",
"country_code": "US",
"telephone_number": "213-278-0021",
"fax_number": "213-278-0973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WA",
"license": "19681",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G44889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1256106",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G448890",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "GOLDMAN",
"middle_name": "DAVID",
"credential": "M. D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.