ROBERT DAVID GOLDMAN (MD.) – MOHS-Micrographic Surgery Physician, NPI 1104989649

ROBERT DAVID GOLDMAN (MD.) is a healthcare provider. based in Long beach, California. specializing in DERMATOLOGY. They hold the professional credentials MD.. They hold a License No. 19681 (WA). The NPI Number for ROBERT DAVID GOLDMAN (MD.) is 1104989649

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DAVID GOLDMAN (MD.)
NPI
1104989649
Phone
(562) 595-4777
Address
701 E 28th St Ste 311
Enumeration Date
18 December 2006
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8182222055
Graduation Year
1980 (46 years ago)
PAC ID
2961444641
Group Practice PAC ID
5890916845
Professional Enrollment ID
I20050523001276
Address ID
CA913024037CA24025SORR301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for ROBERT DAVID GOLDMAN (MD.)

  • 701 E 28th St Ste 311

    Long Beach, CA 908062780

    Phone: (562) 595-4777

    Fax: (562) 424-9644

    Type: Location

  • 24025 Park Sorrento Ste 405

    Calabasas, CA 913024037

    Phone: (818) 222-2055

    Fax: (818) 222-2821

    Type: Location

  • 1127 Wilshire Blvd Ste 600

    Los Angeles, CA 900173907

    Phone: (213) 278-0021

    Fax: (213) 278-0973

    Type: Location

  • Mission, Kiara Hills, Kuala Lumpur, 60000, Malaysia

    MISSION HILLS, CA 913469602

    Phone: (818) 837-5637

    Fax: (818) 837-5589

    Type: Mailing

  • McBean Parkway, Valencia, Santa Clarita, Los Angeles County, California, 91355, United States

    VALENCIA, CA 913554466

    Phone: (661) 290-5330

    Fax: (661) 290-5331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,233.

Total Amount is formed as General ($99) + Research ($2,134) + Ownership ($0) = $2,233.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: SANOFI US SERVICES INC. ($2,134).

Total Amount

$2,233

General + Research + Ownership

Payments

16

Total payment records

General Amount

$99

General payments

Research Amount

$2,134

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050523001276IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90806)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890916845View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ROBERT DAVID GOLDMAN (MD.)'s NPI?
Yes. ROBERT DAVID GOLDMAN (MD.) is listed with NPI 1104989649 in the public NPI dataset.
Does CMS list ROBERT DAVID GOLDMAN (MD.) as active?
Yes — ROBERT DAVID GOLDMAN (MD.) is active in the NPI listing used on this page.
What is ROBERT DAVID GOLDMAN (MD.) best known for clinically?
Directory data describes ROBERT DAVID GOLDMAN (MD.) with MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT DAVID GOLDMAN (MD.)?
ROBERT DAVID GOLDMAN (MD.)'s geographic hint is Long Beach, California in our summary view.
Is the information about ROBERT DAVID GOLDMAN (MD.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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