Timothy Goosby, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA1720 Issued in CA

Practice address

1390 E Yosemite Ave
#B
Merced, CA 95340-8221

Phone

(209) 580-3400

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Hi-Desert Medical Center Anesthesiology Group

  • Anesthesiology Physician
  • Joshua Tree, CA
  • NPI 1235320938
  NPD (past)
• Xenon Heath PC

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1346506672
  NPD (past)
• Anesthesia Associates of Easton, P C

  • Specialist
  • Easton, PA
  • NPI 1952305930
  NPD (past)
• Anesthesiology Consultants of Toledo, Inc

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1366482119
  NPD (past)
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Critical Access Hospital
  • Barron, WI
  • NPI 1740239557
  NPD (past)
• Trinidad Area Health Association

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1649477977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 E YOSEMITE AVE",
            "address_2": "#B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408221",
            "telephone_number": "209-580-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSBY",
        "first_name": "TIMOTHY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "RN 99747-030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "118-033",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina J Gonzalez
• Tabitha Marie Gonzalez
• Cameron Justin Goodin, DDS
• Lavon Hobert Goodin, DDS
• Tara Goodwyn, LVN
• Jon Pratt Gossett
• Ebony A Goytia Hermosillo
• Gary C Graham, M.D.
• Mark Jason Granada, AGNP
• David Granados Lua

• Certified Registered Nurse Anesthetist in Merced, CA
• Providers in Merced, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.