Active NPI
Steven L Goldberg MD Inc
- Surgery Physician
- Stockton, CA
National Provider Identifier
1215967997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G27045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Lee Goldberg, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG270450 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Stockton, CA
- NPI 1124053079
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.