Organization Active NPI

Allan H. Goodman, MD Inc

  • Vascular Surgery Physician
  • El Cajon, CA
National Provider Identifier
1184649832
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A20877 Issued in CA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Mr. Allan H Goodman, MDNPI 1407061039
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.