NPIMap

Organization Active NPI

Leon M. Goldberg, M.D., Medical Corporation

  • Urology Physician
  • Orange, CA
National Provider Identifier
1962671669
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G13531 Issued in CA
Legal business name
LEON M. GOLDBERG, M.D., MEDICAL CORPORATION
Practice address
705 W la Veta Ave
Suite 111
Orange, CA 92868-4402
Phone
(714) 771-0220
Fax
(714) 771-0288
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Leon M. Goldberg, M.D.
Title
President
Phone
(714) 771-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G13531 CA Primary

Addresses

Primary practice location

705 W la Veta Ave
Suite 111
Orange, CA 92868-4402

Mailing address

705 W la Veta Ave
Suite 111
Orange, CA 92868-4402
Phone (714) 771-0220

National Provider Directory

National Provider Directory

Locations

705 W La Veta Ave
Ste 111
Orange, CA 92868
Phone (714) 771-0220

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1962671669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE",
            "address_2": "SUITE 111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684402",
            "telephone_number": "714-771-0220",
            "fax_number": "714-771-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE",
            "address_2": "SUITE 111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684402",
            "telephone_number": "714-771-0220",
            "fax_number": "714-771-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON M. GOLDBERG, M.D., MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-771-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G13531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.