Brad Landon Goolsby, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

555 Chorro St Ste A2
San Luis Obispo, CA 93405-2396

Phone

(805) 321-5080

Fax

(877) 752-3742

NPI assigned

Jun 11, 2019

Last updated

Jul 24, 2026By the provider in NPPES

Sex

Male

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

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.

• Inland Empire TMS

  • Psychiatry Physician
  • Murrieta, CA
  • NPI 1437720802
  Medicare reassignment NPD
• San Diego Treatment Services, LLC

  dba Third Avenue Clinic

  • Methadone Clinic
  • Chula Vista, CA
  • NPI 1316040223
  NPD (past)
• Well Being Physician Assistant Mental Health Inc.

  dba Well Being Mental Health Services

  • Clinic/Center
  • San Luis Obispo, CA
  • NPI 1881348415
  NPD (past)
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1962061184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CHORRO ST STE A2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052396",
            "telephone_number": "805-321-5080",
            "fax_number": "877-752-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CHORRO ST STE A2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052396",
            "telephone_number": "805-321-5080",
            "fax_number": "877-752-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "BRAD",
        "middle_name": "LANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Goodman
• Ramona Goodman
• Steven B Goodman, MD
• Karen E Goodrich, MD
• Nicole Goodwin, SOCIAL WORKER
• Ashlynn Nicole Gordon, D.O.
• Daniel Mark Gordon, M.D.
• Emily A Gordon, NP
• Russell E Gordon, LMFT
• Jesse Gortarez

• Physician Assistant in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.