Individual provider Active NPI

Caryn B Goldman, L.AC., R.N.

  • Acupuncturist
  • Castro Valley, CA
National Provider Identifier
1083779771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 4530 Issued in CA
Practice address
2881 Castro Valley Blvd
Ste Q
Castro Valley, CA 94546-5566
Phone
(510) 727-1238
Fax
(925) 803-5001
NPI assigned
Dec 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 4530 CA Primary

Addresses

Primary practice location

2881 Castro Valley Blvd
Ste Q
Castro Valley, CA 94546-5566

Mailing address

4162 Park Blvd
Oakland, CA 94602-1207
Phone (510) 727-1238

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
AC 4530CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083779771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 PARK BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021207",
            "telephone_number": "510-727-1238",
            "fax_number": "925-803-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 CASTRO VALLEY BLVD",
            "address_2": "STE Q",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465566",
            "telephone_number": "510-727-1238",
            "fax_number": "925-803-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "CARYN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "L.AC., R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.