Brian Goo, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

101435 Issued in CA

Practice address

1145 E Green St
Pasadena, CA 91106-2505

Phone

(626) 421-7787

Fax

(626) 421-7782

NPI assigned

Jun 21, 2017

Last updated

May 29, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 3, 2021 through Aug 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Goo D.D.S. Inc.

  dba Green Street Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pasadena, CA
  • NPI 1033939533
  NPD Authorized official
• A Khalil DDS Apc

  dba Albany Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, CA
  • NPI 1992269799
  NPD (past)
• Adel Khalil D.D.S., M.D. P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Berkeley, CA
  • NPI 1861772790
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1184144248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062505",
            "telephone_number": "626-421-7787",
            "fax_number": "626-421-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062505",
            "telephone_number": "626-421-7787",
            "fax_number": "626-421-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOO",
        "first_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "101435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Gonzalez
• Yvonne Lynette Gonzalez
• Zaida Alejandra Gonzalez, MFT
• Zerlina Gonzalez
• Goo D.D.S. Inc. (Green Street Oral Surgery)
• Minnie Lynn Goode, A.M.F.T, A.P.C.C.
• Winston Earl Gooden, PHD
• Adam J Goodfarb, MD
• John Goodhue
• Casey L Goodman

• Oral and Maxillofacial Surgery (Dentist) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.