Individual provider Active NPI

Ross Terry Goldberg, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1861554735
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G34477 Issued in CA
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

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000986 CA Practitioner - Diagnostic Radiology 7012804578 Reassigns benefits to 1 organization

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
Lebovic Schwimer and Goldberg Medical GroupGroup PAC ID 5193625184, 3 clinicians

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 Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34477CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lebovic, Schwimer and Goldberg Medical Group Diagnostic Radiology CurrentSince Jul 1, 1991 Accepting new patients
Lebovic, Schwimer and Goldberg Medical Group Diagnostic Radiology CurrentSince Jul 1, 1991 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.