1. Home
  2. Directory
  3. California
  4. Fortuna
  5. Anesthesiology
  6. NPI Profile

D. PETER GOLDBERG M.D.
NPI 1154423788
Anesthesiology in Fortuna, CA

Active since September 03, 2006PECOS Enrolled
3300 RENNER DR, FORTUNA, CA 95540(707) 725-3361 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About D. Peter Goldberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D. PETER GOLDBERG M.D. (NPI 1154423788) is an individual anesthesiology provider in Fortuna, California, licensed in California (G46533) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154423788
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameD. PETER GOLDBERGCredential: M.D.
Location Address3300 RENNER DRFortuna, CA 95540-3120
Mailing AddressPo Box 5486Orange, CA 92863-5486 · (818) 550-0900 · Fax (505) 293-1524
Phone(707) 725-3361
Sole ProprietorNo
Enumeration DateSeptember 3, 2006
Last NPPES UpdateAugust 20, 2012
✔ NPI 1154423788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G46533
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3300 RENNER DR, Fortuna, CA 95540
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA92652CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

D. Peter Goldberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show D. Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Memorial Anesthesia Care, Inc
Same address
Anesthesiology
3300 RENNER DR
Fortuna, CA 95540
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1750406146 (707) 725-3361

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE L DEMARA M.D.
Anesthesiology
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3611
DR. WILLIAM M FRENCH M.D.
Radiology (Diagnostic Radiology)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
General Acute Care Hospital (Critical Access)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Pharmacy
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-7332
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
General Acute Care Hospital (Critical Access)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
MIAE LEE CRNA
Anesthesiology
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
DR. CASSANDRA ANN KENNEDY M.D.
Surgery
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-9832
DR. GARY HUNGERFORD BAKER M D
Radiology (Diagnostic Radiology)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D. Goldberg's NPI number?

The NPI number for D. Goldberg is 1154423788. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is D. Goldberg located?

D. Goldberg practices at 3300 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 725-3361.

What is D. Goldberg's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is D. Goldberg enrolled in Medicare?

Yes. D. Goldberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for D. Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), D. Goldberg reassigns Medicare benefits to Pacific Memorial Anesthesia Care, Inc (Fortuna, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for D. Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for D. Goldberg was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.