DR. MITCHEL PAUL GOLDMAN (NPI# 1538240833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538240833 |
| Entity Type | Individual |
| Full Name | DR. MITCHEL PAUL GOLDMAN |
| Credential | M.D. |
| Practice Address |
9339 Genesee Ave 300 San Diego CA 92121-2119 |
| Practice Telephone | 8586571002 |
| Practice Fax Number | 8586579392 |
| Mailing Telephone | 8586571002 |
| Mailing Fax Number | 8586579392 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G50784 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932142155 | Mitchel R Goldman | Dentist | 633 Ashmead Rd, Cheltenham, PA 19012 | 2006-06-14 |
| Street Address |
9339 GENESEE AVE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285608331 | Nancy V. Canty | Nurse Practitioner | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2006-02-15 |
| 1881062438 | Leysin Fletcher | Physician Assistant | 9339 Genesee Ave, Suite 300, San Diego, CA 92121-2119 | 2015-09-11 |
| 1306212550 | Ucsd Physicians Network - Specialty Care | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2015-08-11 |
| 1861874885 | Douglas Wu | Specialist | 9339 Genesee Ave, Suite 300, San Diego, CA 92121-2119 | 2015-06-25 |
| 1578942447 | Synergy Specialists Medical Group | Specialist | 9339 Genesee Ave, Suite 150, San Diego, CA 92121-2119 | 2015-05-26 |
| 1932494945 | Sarah Anne Wilkinson | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2011-06-17 |
| 1164756532 | Ann Marie Navarra | Clinical Nurse Specialist | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2009-10-01 |
| 1205160686 | Vanda R Lops | Nurse Practitioner | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2009-10-01 |
| 1710211867 | Lauren A Robertson | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2121 | 2009-09-22 |
| 1982833232 | Joanna Camille Nicholson | Physician Assistant | 9339 Genesee Ave, Plaza 39, San Diego, CA 92121-2119 | 2009-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114059623 | Sandra Stephanie Morimoto | Dermatology | 13625 Glencliff Way, San Diego, CA 92130-1324 | 2007-03-10 |
| 1467421917 | William P Mansfield | Dermatology | 406 9th Ave, Suite 201, San Diego, CA 92101-7276 | 2006-03-16 |
| 1285961623 | Douglas M Keel Do Inc | Dermatology | 8899 University Center Ln, Suite 150, San Diego, CA 92122-1013 | 2009-11-05 |
| 1205090826 | Salman M S Alsaad | Dermatology | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2008-07-13 |
| 1760522080 | Kimberly Jane Butterwick | Dermatology | 9339 Genesee Ave, 300, San Diego, CA 92121-2119 | 2007-02-07 |
| 1982682852 | Peter Randall Shumaker | Dermatology | Naval Medical Ctr, 34800 Bob Wilson Dr., Ste 300, San Diego, CA 92134-0001 | 2006-01-02 |
| 1154320075 | Douglas Michael Keel | Dermatology | 8899 University Center Ln, Suite 150, San Diego, CA 92122-1013 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
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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.