Carmel Valley Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CARMEL VALLEY NEUROLOGY PC

Practice address

12264 El Camino Real Ste 303
San Diego, CA 92130

Phone

(866) 393-9869

Fax

(866) 393-9868

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Goldberg, MD

Title

Owner

Phone

(866) 393-9869

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1194214882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "address_2": "STE 705 PMB 423",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303343",
            "telephone_number": "866-393-9869",
            "fax_number": "866-393-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "866-393-9869",
            "fax_number": "866-393-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL VALLEY NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-393-9869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PTAN",
            "identifier": "DY3247",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "CB298480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duncan Carlton, MD
• Lindsey Carlton, RN
• Sharmila G Carlton, MD
• Nishmet D. Carmedy
• Carmel Mountain Vision Care Optometry, Inc
• Carmel Valley Pediatrics
• Carmel Valley Surgical Center
• Carmel Valley Surgical Center LLC
• Carmel Valley Women'S Health Inc.
• Mary F Carmella, D.C.

• Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.