Active NPI
Allan H. Goodman, MD Inc
- Vascular Surgery Physician
- El Cajon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A20877
- Legal business name
- ALLAN H. GOODMAN, MD INC
- Practice address
- 1219 Hidden Mountain Dr
El Cajon, CA 92019-3640 - Phone
- (858) 292-5151
- NPI assigned
- Jul 13, 2006
- Last updated
- Mar 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Allan H Goodman, MD
- Title
- President
- Phone
- (619) 443-0282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A20877 | CA | Primary |
Addresses
Primary practice location
1219 Hidden Mountain Dr
El Cajon, CA 92019-3640
Mailing address
1219 Hidden Mountain Dr
El Cajon, CA 92019-3640
Phone (858) 292-5151
National Provider Directory
National Provider DirectoryLocations
7930 Frost St
Ste 303
San Diego, CA 92123
Phone (858) 292-5151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- El Cajon, CA
- NPI 1407061039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520985600000",
"number": "1184649832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 HIDDEN MOUNTAIN DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920193640",
"telephone_number": "858-292-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 HIDDEN MOUNTAIN DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920193640",
"telephone_number": "858-292-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLAN H. GOODMAN, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2018-03-14",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-443-0282",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A20877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.