Active NPI
Goldberg Psychiatry
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1942956255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GOLDBERG PSYCHIATRY
- Practice address
- 8075 W 3Rd St Ste 306
Los Angeles, CA 90048-4334 - Phone
- (310) 363-0765
- NPI assigned
- Feb 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aryeh L Goldberg, MD, MA
- Title
- Medical Director
- Phone
- (310) 363-0765
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
8075 W 3Rd St Ste 306
Los Angeles, CA 90048-4334
Mailing address
8075 W 3Rd St Ste 306
Los Angeles, CA 90048-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/23885/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1922499128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1942956255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8075 W 3RD ST STE 306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8075 W 3RD ST STE 306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484334",
"telephone_number": "310-363-0765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDBERG PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "ARYEH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-363-0765",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MA"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.