JUSTIN MATHIAS GOODING


Address: 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642
Phone: 7608064355

JUSTIN MATHIAS GOODING (NPI# 1245337302) 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) 1245337302
Entity Type Individual
Full Name JUSTIN MATHIAS GOODING
Credential M.D.
Practice Address 410 S Melrose Dr
Suite 104
Vista
CA 92081-6642
Mailing Address 155 15th St
Del Mar
CA 92014-2358
Practice Telephone 7608064355
Practice Fax Number 7608064363
Mailing Telephone 7609404055
Enumeration Date 2006-09-20
Last Update Date 2011-11-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
G78989 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 410 S MELROSE DR
SUITE 104
City VISTA
State CA
Zip Code 92081-6642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285739334 Sean Patrick Pinnell Radiology 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-09-13
1174898092 Tharia B Corbett Young Marriage & Family Therapist 410 S Melrose Dr, Suite 202, Vista, CA 92081-6642 2012-03-09
1760660252 Jerry Kropp Psychologist 410 S Melrose Dr, Suite 202, Vista, CA 92081-6642 2008-02-06
1033231584 Tara A Hodgens Marriage & Family Therapist 410 S Melrose Dr, Ste 202, Vista, CA 92081-6642 2007-04-04
1477624625 Michael E Huk Radiology 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-11-10
1316024516 James Bruce Warden Radiology 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-11-01
1700963980 Stephen Phillip Schmitter Radiology 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-11-01
1962509919 Cline Adolph Handy Radiology 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-09-20
1013014968 Margaret Mae Lee Radiology 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-09-20
1407952427 David Gary Evans Nuclear Medicine 410 S Melrose Dr, Suite 104, Vista, CA 92081-6642 2006-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548896202 Maritza Mercado Behavior Technician 1926 Civic Center Dr Suite B, Vista, CA 92081 2020-03-13
1417599267 Cherelle Artise Lewis Behavior Technician 1926 Via Centre Drive, Suite B, Vista, CA 92081 2019-10-14
1194101295 Mary Stewart Physical Therapist 1515 S Melrose Dr, Vista, CA 92081 2015-07-31
1184069122 Houri Fatourachi, Dds Inc Dentist 2325 S Melrose Dr., Vista, CA 92081 2013-05-03
1821377037 Mori Medical Equipment Inc Durable Medical Equipment & Medical Supplies 2320 La Mirada Dr, Vista, CA 92081 2011-08-05
1497068563 Gerald Francis Moore Dentist 610 S. Melrose Dr, Vista, CA 92081 2010-07-19
1316274749 Mahtab Saadatmandi Dentist 2311 S. Melrose Dr., Vista, CA 92081 2009-11-05
1760650808 Edward George Dougherty Occupational Therapy Assistant 1579 Wellington Lane, 51, Vista, CA 92081 2008-02-12
1831398676 Longs Drug Stores California LLC Pharmacy 635 S Melrose Dr, Vista, CA 92081 2007-07-12
1346462231 Houri Fatourachi Dentist 2325 South Melrose Drive, Vista, CA 92081 2007-05-02
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134739949 Ava Vascular Radiology 1281 W. C. Street, Suite 200, Colton, CA 92324 2020-08-06
1306467204 Saleh Radiology of Inland Empire Radiology 15276 Ledgestone St, Fontana, CA 92336-4048 2020-05-01
1366084535 Luo Xu Radiology 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 2019-10-09
1346717824 Cvs Medical Group, Inc Radiology 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 2018-11-01
1407353675 Art Vascular & Interventional Associates Inc Radiology 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 2018-04-12
1568971869 Broad Reach Specialty Surgery Inc Radiology 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 2017-09-29
1407393754 Valley Vascular Partners Inc Radiology 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 2017-01-25
1124497342 Neurointerventional Surgery Consultants, PC Radiology 534 S Brea Blvd, Brea, CA 92821-5304 2015-09-17
1578946026 Clarity Radiology, LLC Radiology 39 Via Navarro, Greenbrae, CA 94904-1215 2015-07-01
1669863981 Pedes Vascular San Fernando Valley Radiology 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 2015-02-09
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Competitor

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City VISTA
Zip Code 92081

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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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