Chandra Maya Goff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7038 Issued in AZ

Practice address

17218 N 72ND Dr Ste 101
Glendale, AZ 85308-8580

Phone

(623) 334-8671

Fax

(623) 334-8675

NPI assigned

Aug 12, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• 4C Medical Group PLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558654384
  Medicare reassignment NPD
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1922532944
  Medicare reassignment
• Burbank Occupational Health Center Inc

  • Urgent Care Clinic/Center
  • Burbank, CA
  • NPI 1962788463
  Medicare reassignment
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1811765449
  NPD
• Phoenician Medical Center, Inc

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1891895637
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1366818379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088580",
            "telephone_number": "623-334-8671",
            "fax_number": "623-334-8675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 W University Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852813269",
            "country_code": "US",
            "telephone_number": "480-493-3444",
            "fax_number": "480-867-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "CHANDRA",
        "middle_name": "MAYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52670",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441762",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Fandino Gobert
• Jacqueline Godinez Lopez, RD
• Godwin Izuegbunam MD PC
• Tagbe-Toe Daniel Goe, RBT
• Jean Bove Goerss, MD MPH
• Gold Compass Counseling, LLC
• Golden Eagle Transport LLC
• Jennifer Golden, RDN
• Goldwater Legacy Assisted Living LLC
• Ram Goli

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.