Individual provider Active NPI

Leonard S. Goldberg, M.D.

  • Rheumatology Physician
  • Bakersfield, CA
National Provider Identifier
1609171933
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
C26721 Issued in CA
Practice address
3737 San Dimas St
Suite 101
Bakersfield, CA 93301-5732
Phone
(661) 327-5037
Fax
(661) 327-7633
NPI assigned
Jan 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X C26721 CA Primary

Addresses

Primary practice location

3737 San Dimas St
Suite 101
Bakersfield, CA 93301-5732

Mailing address

3737 San Dimas St
Suite 101
Bakersfield, CA 93301-5732
Phone (661) 327-5037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C26721CAMDRheumatology Physician
26721CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1609171933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 SAN DIMAS ST",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015732",
            "telephone_number": "661-327-5037",
            "fax_number": "661-327-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 SAN DIMAS ST",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015732",
            "telephone_number": "661-327-5037",
            "fax_number": "661-327-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LEONARD",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C26721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.