Organization Active NPI

Steven L Goldberg MD Inc

  • Surgery Physician
  • Stockton, CA
National Provider Identifier
1215967997
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G27045 Issued in CA
Legal business name
STEVEN L GOLDBERG MD INC
Practice address
2216 N California St Ste a
Stockton, CA 95204-5533
Phone
(209) 948-2001
Fax
(209) 948-2836
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Steven Lee Goldberg, MDNPI 1124053079
Title
President
Phone
(209) 948-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G27045 CA Primary

Addresses

Primary practice location

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

Mailing address

2216 N California St Ste a
Stockton, CA 95204-5533
Phone (209) 948-2001

Other identifiers 1

IdentifierTypeStateIssuer
OOG270450MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1215967997",
    "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": {
        "organization_name": "STEVEN L GOLDBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-948-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G27045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG270450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.