BRIAN GOO (NPI# 1184144248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184144248 |
| Entity Type | Individual |
| Full Name | BRIAN GOO |
| Credential | DDS |
| Practice Address |
1411 E 31st St # E2 Oakland CA 94602-1018 |
| Mailing Address |
131 Embarcadero W Apt 3310 Oakland CA 94607-3768 |
| Practice Telephone | 5104374473 |
| Mailing Telephone | 18183951968 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
101435 | CA | Dental Providers |
| Street Address |
1411 E 31ST ST # E2 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851930457 | Julene Funk | Dentist | 1411 E 31st St # E2, Oakland, CA 94602-1092 | 2019-12-30 |
| 1184268112 | Andrew Choi | Dentist | 1411 E 31st St # E2, Oakland, CA 94602-1018 | 2019-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154611390 | Alex R Mcdonald | Dentist | 3300 Webster St., 810, Oakland, CA 94609-3117 | 2011-04-08 |
| 1154558989 | Erica Lynn Shook | Dentist | 3600 Broadway Ste 41, Oakland, CA 94611-5730 | 2009-06-19 |
| 1265562466 | Theodore Ng | Dentist | 1814 Franklin St Ste 100, Oakland, CA 94612-3439 | 2007-03-06 |
| 1710027917 | Larry Victor Franz | Dentist | 1624 Franklin Street, Suite 810, Oakland, CA 94612-2823 | 2007-02-07 |
| 1225191042 | William Raymond Murphy Sr. | Dentist | 560 29th St, Oakland, CA 94609-3513 | 2006-12-19 |
| 1215998315 | Anup Muduli | Dentist | 180 Ramapo Valley Rd, Oakland, NJ 07436-2524 | 2006-03-29 |
| 1740821396 | Sean T Lee | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-04 |
| 1568024115 | Kristin Lauren Lee | Dentist | Highland Hospital, 1411 E 31st St., Oakland, CA 94602 | 2019-07-03 |
| 1083177257 | Andrew Rich | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-04-12 |
| 1073029617 | Rachel Christine Chapa | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2017-12-19 |
| Find all providers in OAKLAND | ||||
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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.