Jessica D Goerig, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19810 Issued in CA

Practice address

33971 Selva Rd Ste 200
Dana Point, CA 92629-3782

Phone

(949) 276-2600

Fax

(949) 276-2601

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vorteil Dermatology and Aesthetic Science, Inc

  • Dermatology Physician
  • Dana Point, CA
  • NPI 1538405766
  NPD (past)
• Bridgewater Goddard Park Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Brockton, MA
  • NPI 1417932591
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1053496927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33971 SELVA ROAD",
            "address_2": "SUITE 200",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "92629",
            "telephone_number": "949-276-2600",
            "fax_number": "949-276-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33971 SELVA RD STE 200",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293782",
            "telephone_number": "949-276-2600",
            "fax_number": "949-276-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERIG",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PPO",
            "identifier": "1538405766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PPO",
            "identifier": "1538405766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "1538405766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PPO",
            "identifier": "1538405766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN PPO",
            "identifier": "1538405766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PPO",
            "identifier": "1538405766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PPO",
            "identifier": "1538405766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Thomas Gilmore, MD
• Cynthia Ann Glasgow, M.A., MFT
• Kay Darlene Glenn, PT
• Global 340B Pharmacy Services, Inc.
• Frank Godino, D.M.D.
• Vanessa Gross-Marino
• Sarv Mittar Grover, M.D.
• Michelle Giselle Guerrero
• Jessica Guilfoyle, MFT
• Helmy M Guirgis, M.D.

• Physician Assistant in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.