DR. MICHAEL JAY GOLDBERG (NPI# 1437214517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437214517 |
Entity Type | Individual |
Full Name | DR. MICHAEL JAY GOLDBERG |
Credential | M.D. |
Practice Address |
5620 Wilbur Ave Suite 212 Tarzana CA 91856 |
Mailing Address |
5620 Wilbur Ave #212 Tarzana CA 91356 |
Practice Telephone | 8183431010 |
Practice Fax Number | 8183436585 |
Mailing Telephone | 8183431010 |
Mailing Fax Number | 8183436585 |
Enumeration Date | 2006-12-27 |
Last Update Date | 2018-06-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | A025404 | CA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285835140 | Michael Goldberg | Internal Medicine | 2100 Keystone Ave Ste 206, Drexel Hill, PA 19026 | 2007-05-29 |
1821150657 | Michael Goldberg | Family Medicine | 11146 76th Dr, Forest Hills, NY 11375-7010 | 2006-12-15 |
1215034673 | Michael Ellis Goldberg | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-20 |
1205843760 | Michael J Goldberg | Optometrist | 3332 Nw Federal Hwy, Jensen Beach, FL 34957-4402 | 2006-08-01 |
1043252141 | Michael Jay Goldberg | Dentist | 2901 W Oakland Park Blvd, B-21, Oakland Park, FL 33311-1243 | 2006-06-12 |
1467413104 | Michael S Goldberg | Physical Therapist | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2006-03-31 |
1598293409 | Michael Anatolevich Goldberg | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2017-05-23 |
1891140794 | Michael Louis Goldberg | Internal Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2016-04-28 |
1699151530 | Michael Joseph Goldberg | Pharmacist | 9043 W Olive Ave, Peoria, AZ 85345-7049 | 2015-08-03 |
1003215385 | Michael R Goldberg | Psychologist | 243 Nassau Blvd, Garden City, NY 11530-5532 | 2014-08-22 |
Street Address |
5620 WILBUR AVE SUITE 212 |
City | TARZANA |
State | CA |
Zip Code | 91856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902876709 | Tye J Ouzounian IIi | Orthopaedic Surgery | 5620 Wilbur Ave, Suite 216, Tarzana, CA 91356-1351 | 2006-01-24 |
1396383386 | Nina Horwich | Respiratory Therapist, Registered | 5620 Wilbur Ave, Tarzana, CA 91356-1351 | 2019-12-20 |
1376051284 | Lilian Eshaghian | Dentist | 5620 Wilbur Ave, Tarzana, CA 91356-1351 | 2018-01-12 |
1194266841 | Bezad Dental Group Professional Corporation | Dentist | 5620 Wilbur Ave, Suite 310, Tarzana, CA 91356-1351 | 2017-03-14 |
1366989709 | Ldnr Pharmacy, Inc | Pharmacy | 5620 Wilbur Ave, Suite 100, Tarzana, CA 91356-1351 | 2017-01-24 |
1720457211 | Noveon Surgery Center | Clinic/Center | 5620 Wilbur Ave, Suite 305, Tarzana, CA 91356-1351 | 2015-09-15 |
1770928459 | Khaz Anesthesia, Inc | Anesthesiology | 5620 Wilbur Ave, Suite 305, Tarzana, CA 91356-1351 | 2013-05-07 |
1578826996 | Michael Hirt Md PC | Internal Medicine | 5620 Wilbur Ave, Suite 220, Tarzana, CA 91356-1351 | 2012-06-20 |
1427324409 | Kenneth L. Reed | Dentist | 5620 Wilbur Ave, #319, Tarzana, CA 91356-1351 | 2012-03-23 |
1538451760 | Brand Tarzana Surgical Institute Inc | Clinic/Center | 5620 Wilbur Ave, #305, Tarzana, CA 91356-1351 | 2011-05-05 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245677491 | West Medical Center Inc | Specialist | 18425 Burbank Blvd Ste 102, Tarzana, CA 91356-2812 | 2013-05-29 |
1255672481 | Michael Gordon Lutsky | Specialist | 18747 Hatteras St, #8, Tarzana, CA 91356-1462 | 2013-03-13 |
1730411216 | Vincent Oriente | Specialist | 18757 Burbank Boulavard, Tarzana, CA 91356-3345 | 2010-02-08 |
1427109388 | Maged S Mikhail A Professional Corporation | Specialist | 18425 Burbank Blvd., Suite #102, Tarzana, CA 91356-2806 | 2007-01-16 |
1700947058 | Michael Vermesh | Specialist | 18370 Burbank Boulevard, Suite 301, Tarzana, CA 91356 | 2006-12-12 |
1639192263 | Robert A Weissman | Specialist | 5620 Wilbur Ave Ste 214, Tarzana, CA 91356-1309 | 2006-07-25 |
1790704344 | Donald Stephen Litvak | Specialist | 3808 Winford Dr, Tarzana, CA 91356-5824 | 2006-07-18 |
1912936683 | Marie-therese Pean | Specialist | 18411 Clark St., Suite 202, Tarzana, CA 91356 | 2006-07-03 |
1417995622 | Zahi Nassoura | Specialist | 18226 Ventura Boulevard, Suite 102, Tarzana, CA 91356-4246 | 2006-06-02 |
1962475244 | South Valley Internal Medicine A Medical Corporation | Specialist | 18356 Clark St, Suite 101, Tarzana, CA 91356-3502 | 2006-02-08 |
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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.