Individual provider Active NPI

Alina Goldenberg, MD

  • Dermatology Physician
  • Oceanside, CA
National Provider Identifier
1710374889
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A144569 Issued in CA
Practice address
3613 Vista Way
Oceanside, CA 92056
Phone
(760) 758-5340
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X A144569 CA Primary

Addresses

Primary practice location

3613 Vista Way
Oceanside, CA 92056

Mailing address

3613 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-5340

Other practice location 1

402 Dickinson St
Suite 380
San Diego, CA 92103-6902
Phone (619) 543-2429

Other practice location 2

1200 Garden View Rd Ste 108
Encinitas, CA 92024-2475
Phone (760) 942-1311

Other practice location 3

11943 El Camino Real Ste 220
San Diego, CA 92130-2597
Phone (760) 758-5340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614001030 CA Practitioner - Dermatology 3870826308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatologist Medical Group of North County IncGroup PAC ID 7315849981, 19 clinicians

Practice addresses (Care Compare)

3613 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-5340

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions1107
Skin biopsy209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144569CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologist Medical Group of North County, Inc Dermatology CurrentSince Jul 1, 2019 Accepting new patients

Locations

1200 Garden View Rd
Ste 108
Encinitas, CA 92024
Phone (760) 942-1311

3613 Vista Way
Oceanside, CA 92056
Phone (760) 758-5340

11943 El Camino Real
Ste 220
San Diego, CA 92130
Phone (760) 758-5340

Interoperability endpoints

  • Direct secure messaging: agoldenberg@northcounty.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1710374889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-758-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-758-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Dickinson St",
            "address_2": "Suite 380",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921036902",
            "country_code": "US",
            "telephone_number": "619-543-2429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Garden View Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242475",
            "country_code": "US",
            "telephone_number": "760-942-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11943 El Camino Real Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302597",
            "country_code": "US",
            "telephone_number": "760-758-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "ALINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A144569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.