ANNA LEAH GOODGE (NPI# 1972844157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972844157 |
Entity Type | Individual |
Full Name | ANNA LEAH GOODGE |
Credential | NP |
Practice Address |
316 S Stratford Ave Suite B Santa Maria CA 93454 |
Mailing Address |
1400 E. Church Street Attention: Medical Staff Office Santa Maria CA 93454 |
Practice Telephone | 8053328446 |
Practice Fax Number | 8053328173 |
Mailing Telephone | 8057393954 |
Mailing Fax Number | 8057393060 |
Enumeration Date | 2013-03-13 |
Last Update Date | 2018-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22904 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
316 S STRATFORD AVE SUITE B |
City | SANTA MARIA |
State | CA |
Zip Code | 93454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891790614 | Daniel Oh | Surgery | 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 | 2005-06-17 |
1043786791 | Lois Yang | Physician Assistant | 316 S Stratford Ave, Santa Maria, CA 93454-5908 | 2018-10-21 |
1225562093 | Margaret Grace Evans | Dietitian, Registered | 316 S Stratford Ave, Santa Maria, CA 93454-5908 | 2017-04-18 |
1407272636 | Pacific Central Coast Health Centers | Clinic/Center | 316 S Stratford Ave, Suite B, Santa Maria, CA 93454-5908 | 2014-03-12 |
1669687562 | Daryl A. Reid | Surgery | 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 | 2007-05-14 |
1467584409 | Joseph Dean Centeno | Surgery | 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 | 2007-03-12 |
1114092590 | Victoria Ann Mcculloch | Social Worker | 316 S Stratford Ave, Suite B, Santa Maria, CA 93454-5908 | 2006-11-21 |
1336114065 | Carol Ann Mccloskey | Surgery | 316 S Stratford Ave, Suite B, Santa Maria, CA 93454-5908 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
Find all providers in zip 93454 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811223654 | Elizabeth A. Morgan | Nurse Practitioner | 340 E. Betteravia Road, Suite C, Santa Maria, CA 93454 | 2009-10-29 |
1205989308 | Rhonda Naomi Davis | Nurse Practitioner | 1430 E Main St Ste 102, Santa Maria, CA 93454-4831 | 2007-01-19 |
1912996893 | Debra Lee Hanson | Nurse Practitioner | 500 W Foster Rd, Santa Maria, CA 93455-3620 | 2005-10-14 |
1013518711 | Jennifer Diaz | Nurse Practitioner | 210 S Palisade Dr Ste 101, Santa Maria, CA 93454-5932 | 2020-11-08 |
1922620657 | Bethania Gonzalez | Nurse Practitioner | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2020-05-15 |
1275178758 | Chunchun Zhang | Nurse Practitioner | 201 N College Dr Ste 101, Santa Maria, CA 93454-4614 | 2019-11-08 |
1699323386 | Elizabeth Mikus | Nurse Practitioner | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2019-08-27 |
1366931750 | Padma Devi Ramiah | Nurse Practitioner | 355 Daniel Dr Ste 105, Santa Maria, CA 93454-8840 | 2018-05-02 |
1427545698 | Robert Francis Hernandez | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2018-04-13 |
1417476060 | Erika Fromhold | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-09-14 |
Find all providers in SANTA MARIA |
City | SANTA MARIA |
Zip Code | 93454 |
Please comment or provide details below to improve the information on ANNA LEAH GOODGE.
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.