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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G78989 | CA | Allopathic & Osteopathic Physicians |
Street Address |
410 S MELROSE DR SUITE 104 |
City | VISTA |
State | CA |
Zip Code | 92081-6642 |
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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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 |
Find all providers in zip 92081 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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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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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.