Debra Sue Goettsch, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13453 Issued in CA

Practice address

1801 Shattuck Ave Ste a
Berkeley, CA 94709-1872

Phone

(510) 225-1025

Fax

(510) 225-0119

NPI assigned

Aug 13, 2006

Last updated

Apr 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stat Med PC a California Medical Professional CorporationGroup PAC ID 1850528530, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Lafayette, CA
  • NPI 1891132106
  Medicare reassignment Care Compare group
• Carbon Health Medical Group of California PC

  dba Carbon Health

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232
  Medicare reassignment NPD
• One Medical Group, Inc.

  dba One Medical Group

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1467781641
  Medicare reassignment NPD
• City Health, a Medical Corporation

  dba City Health Urgent Care

  • Multi-Specialty Clinic/Center
  • San Leandro, CA
  • NPI 1477940187
  Medicare reassignment
• One Medical Group, Inc

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1891521134
  NPD
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1841202165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SHATTUCK AVE STE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091872",
            "telephone_number": "510-225-1025",
            "fax_number": "510-225-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SHATTUCK AVE STE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091872",
            "telephone_number": "510-225-1025",
            "fax_number": "510-225-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTSCH",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Goddard, RADT-I
• Andrea Godinez
• Tyler Godsy, M.S., BCBA
• Puja Shiv Goel, O.D.
• Hanna Lee Goericke, LMFT
• Rebecca Shepard Goettsche, PHD
• Brenda Rachel Goff
• Brittany Goh, LCSW
• Tracie Yein-Hwey Goh, DO
• Joan Gold, MFT

• Physician Assistant in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.