Individual provider Active NPI

Robert David Goldman, MD.

  • MOHS-Micrographic Surgery Physician
  • Valencia, CA
National Provider Identifier
1104989649
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G44889 Issued in CA
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

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1256106MedicaidWA
00G448890MedicaidCA

Other names 1

  • Robert David Goldman Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523001276 CA Practitioner - Dermatology 2961444641 Reassigns benefits to 1 organization

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
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

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 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions48
Removal or shaving of skin growth1-10
Skin biopsy31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44889CAMDGeneral Practice Dentistry
G44889CAMDMOHS-Micrographic Surgery Physician
19681WAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Mohs-Micrographic Surgery CurrentSince Dec 15, 2023 Accepting new patients
Montage Medical Group PastSince Dec 15, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.