Individual provider Active NPI

Layne Goeringer

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1669335741
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95028030 Issued in CA
Practice address
3530 Wilshire Ter
San Diego, CA 92104-3230
Phone
(801) 885-7316
NPI assigned
Dec 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95028030 CA Primary

Addresses

Primary practice location

3530 Wilshire Ter
San Diego, CA 92104-3230

Mailing address

3530 Wilshire Ter
San Diego, CA 92104-3230

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95028030CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1669335741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 WILSHIRE TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 WILSHIRE TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043230",
            "telephone_number": "801-885-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERINGER",
        "first_name": "LAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.