David Goldeen, MASSAGE THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

0714808 Issued in CA

Practice address

715 Dixie LN
San Luis Obispo, CA 93401-8215

Phone

(805) 801-7128

NPI assigned

May 18, 2010

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1841519675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 E WHITTON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514847",
            "telephone_number": "480-787-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DIXIE LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018215",
            "telephone_number": "805-801-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEEN",
        "first_name": "DAVID",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "0714808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn A Glove
• Gnet PLLC
• Elise Goetzl
• Amy D Goff
• Gold Coast Care Inc. (Senior Helpers San Luis Obispo County)
• Nancy Goldsmith
• Susan Ann Gollnick, MS, RD
• Bryan David Golston
• Debora Gomes Vitaliano
• Sandra Gomez Celedon

• Specialist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.