Goo D.D.S. Inc.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

GOO D.D.S. INC.

Doing business as

Green Street Oral Surgery

Practice address

1145 E Green St
Pasadena, CA 91106-2505

Phone

(626) 460-0250

NPI assigned

Oct 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Goo, DDSNPI 1184144248

Title

President

Phone

(626) 460-0250

Specialties & licenses 1

Addresses

Other names 1

• Green Street Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Goo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Pasadena, CA
  • NPI 1184144248
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1033939533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E UNION ST UNIT 303",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911017704",
            "telephone_number": "818-395-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062505",
            "telephone_number": "626-460-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOO D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "GOO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-460-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Street Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yelena Tumanyan Gonzalez, MFT-I
• Yvonne Gonzalez
• Yvonne Lynette Gonzalez
• Zaida Alejandra Gonzalez, MFT
• Zerlina Gonzalez
• Brian Goo, DDS
• Minnie Lynn Goode, A.M.F.T, A.P.C.C.
• Winston Earl Gooden, PHD
• Adam J Goodfarb, MD
• John Goodhue

• Oral & Maxillofacial Surgery (D.M.D.) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.