Healthcare Provider Details

I. General information

NPI: 1962567966
Provider Name (Legal Business Name): DAVID STUART GOLDBERG M D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24591 SILVER CLOUD CT SUITE 150
MONTEREY CA
93940-6549
US

IV. Provider business mailing address

24591 SILVER CLOUD CT SUITE 150
MONTEREY CA
93940-6549
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-3377
  • Fax: 831-649-6725
Mailing address:
  • Phone: 831-649-3377
  • Fax: 831-649-6725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG085126
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: