Individual provider Active NPI

Damien Forrest Goldberg, M.D.

  • Ophthalmology Physician
  • Torrance, CA
National Provider Identifier
1891833695
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87954 Issued in CA
Practice address
23600 Telo Ave
Suite 100
Torrance, CA 90505-4035
Phone
(310) 543-2611
Fax
(310) 543-2056
NPI assigned
Feb 2, 2007
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A87954 CA Primary

Addresses

Primary practice location

23600 Telo Ave
Suite 100
Torrance, CA 90505-4035

Mailing address

23600 Telo Ave
Suite 100
Torrance, CA 90505-4035
Phone (310) 543-2611

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
I20100415000149 CA Practitioner - Ophthalmology 3274593991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23600 Telo Ave
Suite 100
Torrance, CA 90505-4036
Phone (310) 543-2611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87954CAMDMental Health Counselor
A87954CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolstan & Goldberg Eye Associates Inc a Medical Corporaton Ophthalmology CurrentSince Dec 12, 2009 Accepting new patients
County of Los Angeles CurrentSince Nov 12, 2011 Accepting new patients
Wolstan & Goldberg Eye Associates Inc., a Medical Corporaton CurrentSince Dec 12, 2009 Accepting new patients
County of Los Angeles CurrentSince Nov 12, 2011 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Markman & Wolstan, a Medical Group Ophthalmology Past Accepting new patients
Barry J Wolstan M D Inc. Ophthalmology Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

23600 Telo Ave
Ste 100
Torrance, CA 90505
Phone (310) 543-2611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1891833695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-543-2611",
            "fax_number": "310-543-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-543-2611",
            "fax_number": "310-543-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DAMIEN",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.