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).
| 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 |
| 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 |
| 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 |
| Street Address |
4316 CORTE DE LA FONDA |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2126 |
| 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 Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| 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. |
| 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 | ||||
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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.