Individual provider Active NPI

Kristy Marie Goodman, MS, MPH, PA-C

  • Physician Assistant
  • Santa Monica, CA
National Provider Identifier
1760810832
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51236 Issued in CA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
51236CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.