Thomas G. Goergen, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C33209 Issued in CA

Practice address

488 E Valley Pkwy
Suite 100
Escondido, CA 92025-3363

Phone

(760) 739-5400

Fax

(760) 739-8471

NPI assigned

Mar 28, 2006

Last updated

Dec 19, 2007By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imaging Healthcare Specialists Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1750498093
  NPD (past)
• Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1578516829
  NPD (past)
• Valley Radiology Consultants Medical Group, Inc

  • Diagnostic Radiology Physician
  • Escondido, CA
  • NPI 1205897568
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1144281528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462750",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920462750",
            "telephone_number": "760-520-8500",
            "fax_number": "760-520-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-739-5400",
            "fax_number": "760-739-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERGEN",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C33209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C332090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Godfrey, D.C.
• Karen Denise Godfrey
• Jennifer Godinez Villicana
• Monika Goebel, LMFT, RDT
• Brian Wayne Goelitz, M.D.
• Will Goff
• Julia Goker
• Evan S Gold, D.M.D., M.D.
• Israel Gold
• Laura Diane Goldberg

• Diagnostic Radiology Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.