Individual provider Active NPI

George Allan Goodman, MD

  • Psychiatry Physician
  • Santa Rosa, CA
National Provider Identifier
1487644811
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C28957 Issued in CA
Practice address
2635 Cleveland Ave
Ste 2
Santa Rosa, CA 95403-2981
Phone
(707) 575-4868
Fax
(707) 575-5870
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C28957 CA Primary

Addresses

Primary practice location

2635 Cleveland Ave
Ste 2
Santa Rosa, CA 95403-2981

Mailing address

2635 Cleveland Ave
Ste 2
Santa Rosa, CA 95403-2981
Phone (707) 575-4868

Other identifiers 1

IdentifierTypeStateIssuer
00C28970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487644811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 CLEVELAND AVE",
            "address_2": "STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032981",
            "telephone_number": "707-575-4868",
            "fax_number": "707-575-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 CLEVELAND AVE",
            "address_2": "STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032981",
            "telephone_number": "707-575-4868",
            "fax_number": "707-575-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "GEORGE",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C28957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C28970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.