ROBERT DAVID GOLDMAN (NPI# 1104989649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104989649 |
| Entity Type | Individual |
| Full Name | ROBERT DAVID GOLDMAN |
| Other Name | ROBERT DAVID GOLDMAN |
| Credential | MD. |
| Practice Address |
23929 Mcbean Pkwy Valencia CA 91355-4466 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 6612905330 |
| Practice Fax Number | 6612905331 |
| Mailing Telephone | 8188375637 |
| Mailing Fax Number | 8188375589 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
19681 | WA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G44889 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1256106 | 05 | |
| CA | 00G448890 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487980512 | Robert Theodore Goldman | Pathology | 6560 Pleasant Lake Ct, West Bloomfield, MI 48322-4708 | 2009-10-24 |
| 1922332345 | Robert H Goldman | Internal Medicine | 2842 Via Victoria, Palos Verdes Estates, CA 90274-4470 | 2009-10-02 |
| 1144462433 | Robert Paul Goldman | Registered Nurse | 624 Sheldon St, Madison, WI 53711-1948 | 2009-04-01 |
| 1790808509 | Robert J Goldman | Physical Medicine & Rehabilitation | 400 Doctors Court, Johnson Creek, WI 53038-9567 | 2007-04-08 |
| 1124172861 | Robert T Goldman | Allergy & Immunology | 310 N Highland Ave Ste 4, Mount Kisco Medical Group PC, Ossining, NY 10562-6301 | 2007-01-22 |
| 1396831129 | Robert Goldman | Specialist | 160 Hanover Avenue, Morristown, NJ 07962 | 2006-10-05 |
| 1790715373 | Robert Franklin Goldman | Internal Medicine | 1051 E Main St Ste 2, Waynesboro, PA 17268-2318 | 2006-07-03 |
| 1265787139 | Robert Goldman | Psychologist | 283 Commack Rd, Commack, NY 11725-6021 | 2012-07-17 |
| 1467772046 | Robert B Goldman | Dentist | 1200 High Ridge Rd, 2nd Floor, Stamford, CT 06905-1212 | 2010-06-07 |
| 1376701003 | Robert S Goldman | Dentist | 595 Madison Ave, 2500, New York, NY 10022-1907 | 2008-05-29 |
| Street Address |
23929 MCBEAN PKWY |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768259 | Robert M Horth | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| 1619216132 | Tower Imaging Medical Centers, Inc. | Radiology | 23929 Mcbean Pkwy, Building F - Suite 109, Valencia, CA 91355-4466 | 2013-02-04 |
| 1669711354 | Gregory M Senofsky Md Inc | Surgery | 23929 Mcbean Pkwy, 110, Valencia, CA 91355-4466 | 2013-01-31 |
| 1588891865 | Ucla Hematology and Oncology, Santa Clarita | Internal Medicine | 23929 Mcbean Pkwy, Bldg. F., Suite 215, Valencia, CA 91355-4466 | 2009-06-15 |
| 1386808624 | Daniel Itzhak Brison | Urology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2008-07-16 |
| 1689865016 | Cardiovascular Consultants Medical Group | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-08-09 |
| 1609067040 | Kamyar Amini | Otolaryngology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-08-08 |
| 1194928770 | Joshua Daniel Hanelin | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-06-08 |
| 1710196910 | Nu T. Lu | Internal Medicine | 23929 Mcbean Pkwy, 215, Valencia, CA 91355-4466 | 2007-05-22 |
| 1003024191 | Srinivas Peddi | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.