Ronald K Goldberg MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G65437 Issued in CA

Legal business name

RONALD K GOLDBERG MD INC

Practice address

5565 Grossmont Center Dr Ste 455
La Mesa, CA 91942-3073

Phone

(619) 462-9353

Fax

(619) 462-6935

NPI assigned

Nov 28, 2017

Organization subpart

Yes

Parent organization

RONALD K GOLDBERG MD INCAs reported in NPPES

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

Authorized official

Name

Jennifer Hansen

Title

Practice Administrator

Phone

(619) 462-9353

Specialties & licenses 1

Addresses

Other names 1

• RONALD K GOLDBERG MD INC Doing business as

Part of

Ronald K Goldberg MD Inc

Locations

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1396259362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 455",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423073",
            "telephone_number": "619-462-9353",
            "fax_number": "619-462-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 455",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423073",
            "telephone_number": "619-462-9353",
            "fax_number": "619-462-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD K GOLDBERG MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALD K GOLDBERG MD INC",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "619-462-9353"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G65437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RONALD K GOLDBERG MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Christopher Rolan I
• Roman B Cham MD Inc
• Heidy Romero
• Jessica Romero
• Ramiro Romo
• Ronald M Johnson MD Medical Corp
• Ronald M Levin MD Inc
• Ronald M Watson, OD, Inc
• Rina Regala Ronquillo, M.D.
• Rosemary Lisa Anne Rookey, RDN

• Cardiovascular Disease Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.