Jean Annette Goforth, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 1509 Issued in CA

Practice address

4700 Elvas Ave
Sacramento, CA 95819-2250

Phone

(916) 454-4700

NPI assigned

Mar 14, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568595031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6177 GREENHAVEN DR APT A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311652",
            "telephone_number": "530-329-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192250",
            "telephone_number": "916-454-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "JEAN",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA 1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Goertz, D.O.
• Lindsey Rae Goetz, MD
• Susan Goetz, LCSW
• Marleen Noel Goff I, LMFT
• Taylor Stephen Goff, RBT
• Harjinder S. Gogia, MD
• Jaspaul S Gogia, MD
• Anisha Aruna Gogineni, MD
• Patsy Elaine Goings Bethards, LCSW
• Jessica Yolanda Goings

• Occupational Therapy Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.