| Matthew Mortensen Goodman, MD | |
|
180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 | |
| (949) 719-1800 | |
| (949) 719-1810 |
| Full Name | Matthew Mortensen Goodman |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 42 Years |
| Location | 180 Newport Center Dr Ste 158, Newport Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679556633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | G53769 (California) | Secondary |
| 207N00000X | Dermatology | G53769 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goodman Dermatology And Mohs Surgery Pllc | 6406203686 | 2 |
| Donsky Bogle Dermatology Llc | 6608930763 | 3 |
| Entity Name | Donsky Bogle Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982849691 PECOS PAC ID: 6608930763 Enrollment ID: O20090204000411 |
| Entity Name | Goodman Dermatology And Mohs Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841073723 PECOS PAC ID: 6406203686 Enrollment ID: O20231109001026 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Mortensen Goodman, MD 13261 Cromwell Dr, Tustin, CA 92780-4705 Ph: (714) 955-1214 | Matthew Mortensen Goodman, MD 180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 Ph: (949) 719-1800 |
Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 | |
Dr. Lisa Yun Xu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5010 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 949-773-4784 | |
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522 | |
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111 | |
Samuel R Peterson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434 | |
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 | |
Dr. Leela Athalye, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Phone: 949-720-1170 |