MARK A GOLDBERG M.D. NPI 1821064684

NPI Information

NPI: 1821064684
Provider Name: MARK A GOLDBERG, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
21840 NORMANDIE AVE
STE. 700
TORRANCE, CA
ZIP 90502
Phone: (310) 222-5101
Get Directions

Mark A Goldberg, M.D. is a neurology psychiatry neurology in Torrance, CA. The provider is 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. Mark A Goldberg, M.D. NPI is 1821064684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21840 NORMANDIE AVE
STE. 700
TORRANCE, CA
ZIP 90502-047
Phone: (310) 222-5101
Fax: (310) 320-5463

The NPI 1821064684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 6/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	G20699	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G206990	MEDICAID	CALIFORNIA
2	M050376	OTHER	CALIFORNIA	GROUP
3	A41030	MEDICARE UPIN	CALIFORNIA
4	WG20699D	MEDICARE PIN	CALIFORNIA
5	DA6447	OTHER	CALIFORNIA	RAILROAD MEDICARE
6	WG20699E	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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