Christine Anne Goold, FNP/PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17490 Issued in CA

Practice address

5144 Hill Rd E
Lakeport, CA 95453-6300

Phone

(707) 263-8955

Fax

(707) 263-8340

NPI assigned

May 24, 2006

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Golden State Dermatology Associates Inc.

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• Lake Dermatology Medical Assoc Inc

  • Dermatology Physician
  • Lakeport, CA
  • NPI 1437346657
  NPD (past)
• Robert E Beer M D Inc

  • Dermatology Physician
  • Brentwood, CA
  • NPI 1801449970
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1184679300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 PRATO ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137119",
            "telephone_number": "925-522-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-263-8955",
            "fax_number": "707-263-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLD",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "FNP/PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17490",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "17490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milcah Wanjiku Gichuru, FNP-BC
• Anju Goel, MD, MPH
• Holly Ruth Goetz, LCSW
• Sarah Gomora
• Veronica Alicia Gonzalez, RDHAP
• Kathryn Graham, AOD COUNSELOR
• Thomas Graves
• Brian L Grey, D.D.S., M.S.D
• Israel Griffin
• Laurieg Lee Grogg III

• Physician Assistant in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.