CARMEL VALLEY NEUROLOGY PC (NPI# 1194214882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194214882 |
| Entity Type | Organization |
| Organization Name | CARMEL VALLEY NEUROLOGY PC |
| Practice Address |
12264 El Camino Real Ste 303 San Diego CA 92130 |
| Mailing Address |
3830 Valley Centre Dr Ste 705 Pmb 423 San Diego CA 92130-3343 |
| Practice Telephone | 8663939869 |
| Practice Fax Number | 8663939868 |
| Mailing Telephone | 8663939869 |
| Mailing Fax Number | 8663939868 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | DR. EDWARD A GOLDBERG (OWNER) |
| Authorized Official Telephone | 8663939869 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RR MEDICARE GROUP PTAN | DY3247 | 01 |
| CA | MEDICARE GROUP PTAN | CB298480 | 01 |
| Street Address |
12264 EL CAMINO REAL STE 303 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952580904 | Edward A Goldberg | Psychiatry & Neurology | 12264 El Camino Real Ste 303, San Diego, CA 92130 | 2007-10-26 |
| 1215449806 | Elite Sleep Institute, LLC | Sleep Specialist, PhD | 12264 El Camino Real Ste 303, San Diego, CA 92130-3062 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451263 | Kimberly M. Sandberg, Rn, Cran, A Professional Corporation | Psychiatry & Neurology | 4520 Executive Dr Ste 227, San Diego, CA 92121-3020 | 2019-08-05 |
| 1992261374 | Del Mar Brain & Neurostar Tms Inc. | Psychiatry & Neurology | 12264 El Camino Real Ste 202, San Diego, CA 92130-3061 | 2019-02-11 |
| 1225579006 | Lg Aguilar Tabora, Md Inc | Psychiatry & Neurology | 8650 Genessee Ave. Ste 214, #8684, San Diego, CA 92192-8684 | 2017-03-14 |
| 1851725600 | Calneuros, A Professional Medical Corporation | Psychiatry & Neurology | 16766 Bernardo Center Dr Ste 213, San Diego, CA 92128 | 2013-08-29 |
| 1396010856 | Bertrand Liang | Psychiatry & Neurology | 10357 Longdale Pl, San Diego, CA 92131-6126 | 2012-03-16 |
| 1548530157 | Richard Irwin Rowen | Psychiatry & Neurology | 5482 Drover Dr, San Diego, CA 92115-1127 | 2012-01-12 |
| 1457583825 | Leonard J. Gosink | Psychiatry & Neurology | 2403 Romney Rd, San Diego, CA 92109-1559 | 2009-08-18 |
| 1205068210 | David J Croteau | Psychiatry & Neurology | 150 W Washington St Fl 2, San Diego, CA 92103-2005 | 2009-08-10 |
| 1326290339 | Monali Sarjan Patel | Psychiatry & Neurology | 7625 Mesa College Dr Ste 200a, San Diego, CA 92111-5343 | 2008-10-21 |
| 1215188701 | Brenton Alan Wright | Psychiatry & Neurology | 4510 Executive Dr Ste 325, San Diego, CA 92121-3069 | 2008-10-02 |
| Find all providers in SAN DIEGO | ||||
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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.