SPENCER GOSS (NPI# 1942603774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942603774 |
| Entity Type | Individual |
| Full Name | SPENCER GOSS |
| Credential | FNP-BC |
| Practice Address |
3108 Willow Pass Rd Concord CA 94519-2325 |
| Mailing Address |
2617 Hillegass Ave Apt 3d Berkeley CA 94704-3307 |
| Practice Telephone | 9258496634 |
| Practice Fax Number | 9258496635 |
| Mailing Telephone | 5104215809 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000488 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3108 WILLOW PASS RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94519-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225059306 | Parham Gharagozlou | Internal Medicine | 3108 Willow Pass Rd, Concord, CA 94519-2325 | 2006-07-22 |
| 1912340118 | Janice Rhea Vertudez | Nurse Practitioner | 3108 Willow Pass Rd, Concord, CA 94519-2325 | 2013-04-08 |
| 1518272038 | Taraneh Mostaghasi, Md Inc | Clinic/Center | 3108 Willow Pass Rd, Concord, CA 94519-2325 | 2010-08-09 |
| 1619281201 | Parham Gharagozlou Md Inc | Clinic/Center | 3108 Willow Pass Rd, Concord, CA 94519-2325 | 2010-08-05 |
| 1457671414 | Taraneh Mostaghasi | Pediatrics | 3108 Willow Pass Rd, Concord, CA 94519-2325 | 2010-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041927 | Kayla Norman | Nurse Practitioner | 827 Gaulding Rd, Concord, GA 30206-2258 | 2020-04-13 |
| 1982246534 | Josephine Akih Ojong Fongoh | Nurse Practitioner | 7395 Millstone Cir Sw, Concord, NC 28025-0005 | 2019-10-16 |
| 1356995187 | Lyndsey Michele Vallee | Nurse Practitioner | 10 Ferry St Ste 201, Concord, NH 03301-5081 | 2019-07-30 |
| 1215580923 | Zoe J. Owers | Nurse Practitioner | 248 Pleasant St Ste 2600, Concord, NH 03301-7529 | 2019-07-22 |
| 1659834984 | Alisha Hudson Eudy | Nurse Practitioner | 2934 Walter Dr Nw, Concord, NC 28027-5562 | 2019-04-12 |
| 1831674647 | Rebecca C Diamond | Nurse Practitioner | 24 Bridge St Ste 9, Concord, NH 03301-4922 | 2018-09-27 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1295272565 | Jasmin Moultrie | Nurse Practitioner | 2095 Diamond Blvd, Concord, CA 94520-5832 | 2017-01-25 |
| 1417406976 | Lena Lax | Nurse Practitioner | 185 Central St, Concord, MA 01742-2909 | 2016-09-26 |
| 1760834857 | Sheri N. Davis | Nurse Practitioner | 11005 Heber Springs Rd N, Concord, AR 72523-9561 | 2016-07-13 |
| Find all providers in CONCORD | ||||
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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.