NPIMap

Individual provider Active NPI

Mitchell Geoffrey Goldenberg, MBBS, PHD

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1891365078
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A173371 Issued in CA
Practice address
1516 San Pablo St 5TH Floor
Los Angeles, CA 90089-1020
Phone
(323) 865-3589
NPI assigned
Jun 29, 2021
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A173371 CA Primary

Addresses

Primary practice location

1516 San Pablo St 5TH Floor
Los Angeles, CA 90089-1020

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-3589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230519000968 CA Practitioner - Urology 5496157323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, shared by 9 NPIs, 94 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

105 E Sydnor Ave
Suite 100
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

1441 Eastlake Ave
Los Angeles, CA 90089-9171
Phone (323) 865-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince Sep 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2023 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Usc Care Medical Group, Inc Urology CurrentSince Jun 1, 2023 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9500 Stockdale Hwy
Ste 202
Bakersfield, CA 93311
Phone (661) 323-9090

1808 Verdugo Blvd
Ste 318
Glendale, CA 91208
Phone (818) 790-1278

1441 Eastlake Ave
Los Angeles, CA 90089
Phone (323) 865-3000

1441 Eastlake Ave
Ste 7416
Los Angeles, CA 90089
Phone (323) 865-3700

1516 San Pablo St
Fl 5
Los Angeles, CA 90033
Phone (323) 276-3707

1518 San Pablo St
Ste 3500
Los Angeles, CA 90033

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

105 E Sydnor Ave
Ridgecrest, CA 93555

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1891365078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-865-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SAN PABLO ST 5TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891020",
            "telephone_number": "323-865-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "MITCHELL",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "MBBS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A173371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.