Michael H Gollub, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A22017 Issued in CA

Practice address

299 W Hillcrest Dr Ste 100
Thousand Oaks, CA 91360-7820

Phone

(805) 497-7888

Fax

(805) 494-3498

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Los Robles Pediatric Medical Group, Inc.

  • Pediatrics Physician
  • Thousand Oaks, CA
  • NPI 1013919208
  Authorized official Same address or phone

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881723351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607820",
            "telephone_number": "805-497-7888",
            "fax_number": "805-494-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607820",
            "telephone_number": "805-497-7888",
            "fax_number": "805-494-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLUB",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A22017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H. Goldberg, M.D.
• Debra Goldblatt, M.F.T.
• Andrew Jason Goldenberg, D.D.S.
• Ellyn S. Goldstein, MS
• Ronald L. Goldstein, O.D.
• Stephanie Golnik, MPT,DPT,CLT
• Majid Golzari, M.D.
• Julio Gomez
• Luis Alejandro Gomez, MS, RDN
• Nicole Maria Gomez

• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.