Active NPI
Kristy Marie Goodman, MS, MPH, PA-C
- Physician Assistant
- Santa Monica, CA
National Provider Identifier
1760810832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51236
- Practice address
- 1223 20TH St Apt 102
Santa Monica, CA 90404-1308 - Phone
- (315) 573-0690
- NPI assigned
- Oct 28, 2013
- Last updated
- May 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51236 | CA | Primary |
Addresses
Primary practice location
1223 20TH St Apt 102
Santa Monica, CA 90404-1308
Mailing address
1223 20TH St Apt 102
Santa Monica, CA 90404-1308
Phone (315) 573-0690
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristy.goodman.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51236 | CA | MD | Physician Assistant |
Interoperability endpoints
- kristy.goodmanpa.p1@direct.plannedparenthoodla.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779494400000",
"number": "1760810832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 20TH ST APT 102",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041308",
"telephone_number": "315-573-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 20TH ST APT 102",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041308",
"telephone_number": "315-573-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "KRISTY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MS, MPH, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-28",
"last_updated": "2026-05-23",
"certification_date": "2026-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51236",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristy.goodman.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.