Steven Lee Goldberg, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G27045 Issued in CA

Practice address

2216 N California St Ste a
Stockton, CA 95204-5533

Phone

(209) 948-2001

Fax

(209) 948-2836

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Steven L Goldberg MD Inc

  • Surgery Physician
  • Stockton, CA
  • NPI 1215967997
  NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1124053079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 N CALIFORNIA ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045533",
            "telephone_number": "209-948-2001",
            "fax_number": "209-948-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 N CALIFORNIA ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045533",
            "telephone_number": "209-948-2001",
            "fax_number": "209-948-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G27045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "756023590",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G270450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Carlene Goehring
• Lynzy Laree Goehring
• Jennifer Nel Goetz Rego, LMFT
• Jeremy Benjamin Goforth, PH.D.
• Ali Reza Gohari, M.D.
• Golden Peak Living LLC
• Golden State Mobile Wound Inc
• Golden State Pharmacy
• Golden Valley Health Centers
• Steven R Goldman, MD

• Surgery Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.