EDWARD A GOLDBERG M.D. NPI 1952580904

NPI Information

NPI: 1952580904
Provider Name: EDWARD A GOLDBERG, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
12264 EL CAMINO REAL STE 303
SAN DIEGO, CA
ZIP 92130
Phone: (866) 393-9869
Get Directions

Edward A Goldberg, M.D. is a neurology psychiatry neurology in San Diego, 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. Edward A Goldberg, M.D. NPI is 1952580904. 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:

12264 EL CAMINO REAL STE 303
SAN DIEGO, CA
ZIP 92130
Phone: (866) 393-9869
Fax: (866) 393-9868

The NPI 1952580904 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 10/26/2007 and was last updated on 7/16/2018.

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	35-090502	OHIO	No
2	2084P2900X	Psychiatry & Neurology	Pain Medicine	35-090502	OHIO	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	35090502	OHIO	No
4	2084S0012X	Psychiatry & Neurology	Sleep Medicine	A112854	CALIFORNIA	No
5	208VP0000X	Pain Medicine	Pain Medicine	35090502	OHIO	No
6	208VP0014X	Pain Medicine	Interventional Pain Medicine	35090502	OHIO	No
7	2084N0400X	Psychiatry & Neurology	Neurology	A112854	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	CB298481	OTHER	CALIFORNIA	MEDICARE PTAN
2	2825269	MEDICAID	OHIO
3	P02046317	OTHER	CALIFORNIA	RR MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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