DR. IRA LEE GOODMAN


Address: 4316 Corte De La Fonda, San Diego, CA 92130-2126
Phone: 6027413502

DR. IRA LEE GOODMAN (NPI# 1942321930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942321930
Entity Type Individual
Full Name DR. IRA LEE GOODMAN
Credential MD
Practice Address 4316 Corte De La Fonda
San Diego
CA 92130-2126
Mailing Address 8390 E Via De Ventura
Suite F-110
Scottsdale
AZ 85258-3188
Practice Telephone 6027413502
Practice Fax Number 8886783543
Mailing Telephone 6027413502
Mailing Fax Number 8886783543
Enumeration Date 2007-04-03
Last Update Date 2015-10-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
G40445 CA Allopathic & Osteopathic Physicians
N 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
11747 AZ Allopathic & Osteopathic Physicians

Other Providers IRA GOODMAN

NPI Name Taxonomy Address Enumeration
1841260734 Ira J Goodman Neurological Surgery 100 W Gore St, Suite 406, Orlando, FL 32806-1044 2006-01-24
1710984794 Ira J Goodman Specialist 7055 High Grove Blvd, Suite 10, Burr Ridge, IL 60527-7593 2005-07-05

Office Location

Street Address 4316 CORTE DE LA FONDA
City SAN DIEGO
State CA
Zip Code 92130-2126

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629692397 Tlc Family Therapy Marriage & Family Therapist 5965 Village Way. Suite 105 #112, San Diego, CA 92130 2020-05-29
1447746169 Jack Perlov Psychiatry & Neurology 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 2018-07-05
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1154879146 Halie Hommes Occupational Therapist 12250 El Camino Real Ste 250, San Diego, CA 92130 2016-09-19
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1720534951 Nosti and Rygg Dental Corporation Dentist 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 2016-08-28
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1336508621 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 11455 Camino Real, Ste 360, San Diego, CA 92130 2016-02-16
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
Find all providers in zip 92130

Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326548363 Paul Manchester Preventive Medicine 11159 Corte Pleno Verano, San Diego, CA 92130-2688 2018-02-16
1144593989 Laura Buehning Preventive Medicine 4015 Carmel View Rd, 184, San Diego, CA 92130-2394 2012-02-09
1336422252 Kathleen Gray Preventive Medicine 3930 4th Ave Ste 200, San Diego, CA 92103-3119 2011-09-27
1760775928 Stephen Frederic Hansen Preventive Medicine 1036 Chalcedony St, San Diego, CA 92109-2625 2011-05-20
1174625982 Marcel Brysk Preventive Medicine 4269 Hawk St, `, San Diego, CA 92103-1316 2006-09-02
1881663581 Christine Maura Schindler Preventive Medicine 3300 Craven Street Building 3300, 32nd Street Naval Station Branch Medical Clinic, San Diego, CA 92136-5599 2006-03-15
1659341089 Kenichi Carrigan Preventive Medicine 3235 Albacore Alley, San Diego, CA 92136 2006-01-26
1710979877 Michael Bezouska Preventive Medicine 4490 Fanuel St, San Diego, CA 92109-8737 2005-08-16
1619977618 Margaret Ryan Preventive Medicine Nhrc Code 25, Box 85122, San Diego, CA 92186-5122 2005-08-01
1386856896 John Francis Lorentz Preventive Medicine 2001 4th Ave, San Diego, CA 92101-2303 2007-05-04
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

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.

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