Individual provider Active NPI

Emily C Goshen, FNP-BC

  • Family Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1063284701
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024345 Issued in CA
Practice address
9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone
(858) 457-4917
Fax
(858) 646-0017
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024345 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229

Mailing address

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone (858) 457-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95024345CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1063284701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-457-4917",
            "fax_number": "858-646-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-457-4917",
            "fax_number": "858-646-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHEN",
        "first_name": "EMILY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.