Michelle Goldberg, RD

Key facts

NPI

1245264282

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

ND 4363 (FL)

Practice address

473 Cabrillo St
BLDG 422 Suite A1A
Presidio of Monterey, CA 93944-3201

Phone

(831) 242-5907

Fax

(831) 242-6620

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 6, 2024.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1245264282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 GIBSON AVE APT 218",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504330",
            "telephone_number": "661-747-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST",
            "address_2": "BLDG 422 SUITE A1A",
            "city": "PRESIDIO OF MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "831-242-5907",
            "fax_number": "831-242-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 4363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presidio of Monterey, CA

• Andrea M Burgoyne, PA-C
• Joseph H Chin, MD
• Jesse P Gendron, LMSW
• Carol Lois Haig, CNM,MSN,WHNP
• Stanley H Jacques, ARNP
• Naomi Joan Kirkwood, RN EDM
• Melinda Susan Wolf, LMSW

All providers in Presidio of Monterey, CA · Registered Dietitian in California