Active NPI
Ross Terry Goldberg, MD
- Diagnostic Radiology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G34477
- Practice address
- 2730 Wilshire Blvd
#110
Santa Monica, CA 90403-4743 - Phone
- (310) 394-2761
- Fax
- (310) 394-2766
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G34477 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd
#110
Santa Monica, CA 90403-4743
Mailing address
2730 Wilshire Blvd
#110
Santa Monica, CA 90403-4743
Phone (310) 394-2761
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tufts University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2730 Wilshire Blvd
Santa Monica, CA 90403-4724
Phone (310) 394-2761
9675 Brighton Way
Suite 240
Beverly Hills, CA 90210-5138
Phone (310) 394-2761
Hospital & facility affiliations
- Saint John'S Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34477 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lebovic, Schwimer and Goldberg Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Lebovic, Schwimer and Goldberg Medical Group | Diagnostic Radiology | Current | Accepting new patients |
Locations
9675 Brighton Way
Ste 240
Beverly Hills, CA 90210
Phone (310) 394-2761
2730 Wilshire Blvd
Ste 110
Santa Monica, CA 90403
Phone (310) 394-2761
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1164584926
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1063574838
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1861554735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "#110",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-394-2761",
"fax_number": "310-394-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "#110",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-394-2761",
"fax_number": "310-394-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ROSS",
"middle_name": "TERRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G34477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Michael Edward Gold, MD
- Terra Gold, D.O.M., L.AC.
- Bill E Goldberg, MFT MARRIAGE FAMILY
- George Ansbach Goldberg, M.D.
- Neal Stephen Goldberg
- Melissa Lynn Golde, D.P.T
- Amy Michelle Golden Malone, PPS
- Golden State Care Services Inc
- Golden Thread Therapy & Counseling, Licensed Clinical Social Worker, PC
- Golden Wellness RX Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.