Jean Bove Goerss, MD MPH

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G133821 Issued in CA

Practice address

7101 W Beardsley Rd
Unit 741
Glendale, AZ 85308-5699

Phone

(623) 606-8605

NPI assigned

Feb 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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 Jul 18, 2015 through Jul 18, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1386068419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 HACIENDA WAY",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301154",
            "telephone_number": "623-606-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W BEARDSLEY RD",
            "address_2": "UNIT 741",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085699",
            "telephone_number": "623-606-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERSS",
        "first_name": "JEAN",
        "middle_name": "BOVE",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "AZ",
            "license": "27411",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "26949",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "21748",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G133821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Goates, DDS
• Christina Fandino Gobert
• Jacqueline Godinez Lopez, RD
• Godwin Izuegbunam MD PC
• Tagbe-Toe Daniel Goe, RBT
• Chandra Maya Goff, PA-C
• Gold Compass Counseling, LLC
• Golden Eagle Transport LLC
• Jennifer Golden, RDN
• Goldwater Legacy Assisted Living LLC

• General Practice Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.