Kip McGooden, R.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2717 Issued in CA

Practice address

783 Rio del Mar Blvd Ste 37
Aptos, CA 95003-4700

Phone

(831) 688-1516

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1114089943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 RIO DEL MAR BLVD",
            "address_2": "STE 37",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034771",
            "telephone_number": "831-688-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 RIO DEL MAR BLVD STE 37",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034700",
            "telephone_number": "831-688-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOODEN",
        "first_name": "KIP",
        "name_prefix": "Mr.",
        "credential": "R.D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "2717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Matkin, NP
• Buford E. McCharen, D.C.
• Caitlin McConnell
• Christie Grace McCullen
• Cathy McDowell, LCSW
• Maureen Anne McGuire, M.A., CCC
• Justin David McLeod, D.C.
• Nicholas Meier
• Inara Menduno, CMT
• Michael James Miceli, LMFT

• Optician in Aptos, CA
• Providers in Aptos, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.