Individual provider Active NPI

Lee Mell Goldman, MD

  • Family Medicine Physician
  • Carmel, CA
National Provider Identifier
1124034376
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G36404 Issued in CA
Practice address
27880 Dorris Dr
Suite 100
Carmel, CA 93923-8581
Phone
(831) 626-4469
Fax
(831) 626-6041
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X XG8422951 CA
Family Medicine Physician 207Q00000X G36404 CA Primary

Addresses

Primary practice location

27880 Dorris Dr
Suite 100
Carmel, CA 93923-8581

Mailing address

27880 Dorris Dr
Suite 100
Carmel, CA 93923-8581
Phone (831) 626-4469

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
I20040115000525 CA Practitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Emergency Medicine 1052219813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
University of Southern California Keck School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Valley Medical Clinic, IncGroup PAC ID 8729986583, 2 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

27880 Dorris Dr
Suite 100
Carmel, CA 93923-8581
Phone (831) 626-4469

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
XG8422951CAMDAddiction (Substance Use Disorder) Psychologist
G36404CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince May 3, 2013 Accepting new patients
Monterey Bay Observation Medicine CurrentSince Feb 1, 2015 Accepting new patients
Carmel Valley Medical Clinic, Inc Family Medicine CurrentSince May 3, 2013 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince May 3, 2013 Accepting new patients

Locations

27880 Dorris Dr
Ste 100
Carmel, CA 93923
Phone (831) 626-4469

576 Hartnell St
Monterey, CA 93940
Phone (831) 625-4600

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124034376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27880 DORRIS DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238581",
            "telephone_number": "831-626-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27880 DORRIS DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238581",
            "telephone_number": "831-626-4469",
            "fax_number": "831-626-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LEE",
        "middle_name": "MELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "XG8422951",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G36404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

Verify at the official NPI Registry.