Glenn Goldberg (NPI# 1760559116, PAC ID# 0143382382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1760559116 |
| PAC ID by PECOS | 0143382382 |
| Professional Enrollment ID | I20081222000361 |
| Full Name | Glenn Goldberg |
| Organization Legal Name | GLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION |
| Address |
31852 Coast Hwy Suite 300 Laguna Beach CA 92651-6766 |
| Phone Number | 9494991389 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9133281371 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 31852 Coast Hwy, Suite 300, Laguna Beach, CA 92651-6766 | 9494991389 | GLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 0% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 30% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 32% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 94% |
| Organization Legal Name | GLENN I. GOLDBERG, D.O., A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Natalia Basham | Physician Assistant | Glenn I. Goldberg, D.o., A Professional Medical Corporation | 31852 Coast Hwy, Suite 300, Laguna Beach, CA 92651-6766 |
| Street Address |
31852 COAST HWY SUITE 300 |
| City | LAGUNA BEACH |
| State | CA |
| Zip | 92651-6766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe K Wong | Internal Medicine | 31852 Coast Hwy, Suite 305, Laguna Beach, CA 92651-6766 | |
| Gabor L Kovacs | Internal Medicine | 31852 Coast Hwy, Suite 305, Laguna Beach, CA 92651-6766 | |
| Naphthali Mateo Alinsod | Obstetrics/gynecology | 31852 Coast Hwy, Suite 203, Laguna Beach, CA 92651-6765 | |
| Gabrielle O Connor | Internal Medicine | 31852 Coast Hwy, Suite 202, Laguna Beach, CA 92651 | |
| Christina Natalia Basham | Physician Assistant | Glenn I. Goldberg, D.o., A Professional Medical Corporation | 31852 Coast Hwy, Suite 300, Laguna Beach, CA 92651-6766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Mills | Plastic and Reconstructive Surgery | Aesthetic Plastic Surgical Institute A Med Corp | 31852 Pacific Coast Hwy 401, Laguna Beach, CA 92651 |
| Christopher M Bates | Plastic and Reconstructive Surgery | Aesthetic Plastic Surgical Institute A Med Corp | 31852 Pacific Coast Hwy 401, Laguna Beach, CA 92651 |
| Diane Christopherson | Chiropractic | 1502 N Coast Hwy, Laguna Beach, CA 92651-1343 | |
| David J Pope | Psychologist, Clinical | 505 Dunnegan Dr, Laguna Beach, CA 92651-1432 | |
| Ruth A Stafford | Clinical Psychologist | 505 Allview Ter, Laguna Beach, CA 92651-1551 | |
| Robert J French | Family Medicine | 265 Laguna Ave, Laguna Beach, CA 92651-2119 | |
| Michael D Cook | Optometry | I2ioptometry.com,inc | 265 Laguna Ave, Laguna Beach, CA 92651-2119 |
| David N Cler | Optometry | I2ioptometry.com,inc | 265 Laguna Ave, Laguna Beach, CA 92651-2119 |
| Jon K Ford | Podiatry | 265 Laguna Ave, Laguna Beach, CA 92651-2119 | |
| Patricia Patricia Sitton | Physical Therapy | 321 3rd St, F, Laguna Beach, CA 92651-2306 | |
| Find all physicians in zip 92651 | |||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAGUNA BEACH + DERMATOLOGY |
Please comment or provide details below to improve the information on Glenn Goldberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.