G.O.a.L.S. Success Pad Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

G.O.A.L.S. SUCCESS PAD INC

Practice address

1 E Lake CT
Antioch, CA 94509-2040

Phone

(925) 384-8723

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Pack

Title

Ceo/President

Phone

(925) 384-8723

Specialties & licenses 2

Addresses

Other names 1

• GOALS SUCCESS PAD Other name

Tax ID family

Goals Success Pad2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• G.O.a.L.S. Success Pad Inc

  • Community/Behavioral Health Agency
  • Manteca, CA
  • NPI 1518765643
  NPD tax ID

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1710794169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 HIDDEN GATE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286531",
            "telephone_number": "925-384-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E LAKE CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092040",
            "telephone_number": "925-384-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.O.A.L.S. SUCCESS PAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "925-384-8723",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOALS SUCCESS PAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pascal R. Fuchshuber, MD
• Maurice Fulcher Sr., RADT
• Full Care Medical Group, Inc.
• Nicaela Catherin Fung, RD
• Jessica Fusco, FNP
• Jonah Mai Abad Gacayan
• Teresa Wangui Gachara, LVN
• Angelina Maria Gaddis
• Tonya Marie Gadomski, BA, MFTI
• Felisa D Gaffney, LMFT, PSY.D.

• Public Health or Welfare Agency in Antioch, CA
• Providers in Antioch, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.