JESSE GOODMAN (NPI# 1609248202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609248202 |
| Entity Type | Individual |
| Full Name | JESSE GOODMAN |
| Credential | AGNP |
| Practice Address |
17782 Cowan Ste A Irvine CA 92614-6041 |
| Mailing Address |
28411 Pueblo Dr Trabuco Canyon CA 92679-1157 |
| Practice Telephone | 9497227118 |
| Mailing Telephone | 8014252831 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95003286 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415366 | Jesse Lyle Goodman | Internal Medicine | Wramc, Building 2, Department of Medicine, 6900 Georgia Ave, Washington, DC 20307-5001 | 2006-12-22 |
| 1922011246 | Jesse Adam Goodman | Psychiatry & Neurology | 38 Church St, Suite 101, Lenox, MA 01240-2525 | 2006-08-15 |
| 1699843342 | Jesse Lee Goodman | Physician Assistant | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2006-12-01 |
| Street Address |
17782 COWAN STE A |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740485101 | Farhad Ghasemi Nikoo | Registered Nurse | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2007-06-18 |
| 1043825797 | Robert Anthony Cadena | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-09-10 |
| 1790396794 | Heidi Aguilar | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-08-12 |
| 1497380356 | Helen Kim | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-03-10 |
| 1558995084 | Neo Atienza | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-02-24 |
| 1972134641 | Emily Louise Lippincott | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-01-30 |
| 1427692375 | Jada Alston | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-11-04 |
| 1366098279 | Nili Askari | Marriage & Family Therapist | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-08-15 |
| 1992363535 | Maria D Acevedo | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-05-29 |
| 1548735202 | Progeny Psychiatric Clinic A Medical Corporation | Family Medicine | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734439 | Jude Legros Levasseur | Nurse Practitioner | 19200 Von Karman Ave Ste 500, Irvine, CA 92612-8513 | 2020-06-11 |
| 1760006217 | Martha Suzanne Freeman | Nurse Practitioner | 431 Reges Rd, Irvine, KY 40336-8442 | 2020-06-01 |
| 1043825797 | Robert Anthony Cadena | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-09-10 |
| 1790396794 | Heidi Aguilar | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-08-12 |
| 1497380356 | Helen Kim | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-03-10 |
| 1558995084 | Neo Atienza | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-02-24 |
| 1972134641 | Emily Louise Lippincott | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2020-01-30 |
| 1427692375 | Jada Alston | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-11-04 |
| 1992363535 | Maria D Acevedo | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2019-05-29 |
| 1598252173 | Melissa Edwards | Nurse Practitioner | 17782 Cowan Ste A, Irvine, CA 92614-6041 | 2018-04-18 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.