Susan D Goldberg MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A49586 Issued in CA

Legal business name

SUSAN D GOLDBERG MD

Practice address

2888 Eureka Way
Ste 201
Redding, CA 96001-0210

Phone

(530) 243-3803

Fax

(503) 243-3821

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Susan D Goldberg, MD, FRCS

Title

Doctor

Phone

(530) 243-3803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376547307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 EUREKA WAY",
            "address_2": "STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010210",
            "telephone_number": "530-243-3803",
            "fax_number": "503-243-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 EUREKA WAY",
            "address_2": "STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010210",
            "telephone_number": "530-243-3803",
            "fax_number": "503-243-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN D GOLDBERG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "530-243-3803",
        "authorized_official_credential": "MD, FRCS"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A49586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.