Allan H Goodman, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A20877 Issued in CA

Practice address

1219 Hidden Mountain Dr
El Cajon, CA 92019-3640

Phone

(619) 443-0282

Fax

(619) 443-5337

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Vascular Medical Center Inc

  • Specialist
  • El Centro, CA
  • NPI 1053336701
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1407061039",
    "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": "619-443-0282",
            "fax_number": "619-443-5337"
        },
        {
            "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": "619-443-0282",
            "fax_number": "619-443-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ALLAN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A20877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Gonzalez, MEDICAL ASSISTANT
• Unyke Maricela Gonzalez
• Good Samaritan Retirement Center
• Gregory Mathew Good
• Camille Goodin
• Ann Goodman, LMFT
• Olga Yalyshava Goodman, LCSW
• Goodwin Rehab Enterprises, Inc.
• Carmen Goodwin
• Annie Gorbonosov

• Vascular Surgery Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.