DR. JUDY GOLDSTEIN (NPI# 1295811990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295811990 |
| Entity Type | Individual |
| Full Name | DR. JUDY GOLDSTEIN |
| Credential | M.D. |
| Practice Address |
4355 Ruffin Rd San Diego CA 92123-4306 |
| Mailing Address |
1166 Sierra Linda Dr Escondido CA 92025-7642 |
| Practice Telephone | 8585762957 |
| Mailing Telephone | 8585762957 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
G17671 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134198500 | Judy Goldstein | Pediatrics | 115 E 57th St Ste 1450, New York, NY 10022-2109 | 2006-03-16 |
| Street Address |
4355 RUFFIN RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386753093 | Howard L Wolfinger Jr. | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2006-08-29 |
| 1528211885 | Lucy D Montalvo-hicks | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2008-10-30 |
| 1659495695 | Joan Menden Reese | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427176700 | Suzanne Goh-hattangadi | Pediatrics | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2007-03-26 |
| 1386753093 | Howard L Wolfinger Jr. | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2006-08-29 |
| 1528211885 | Lucy D Montalvo-hicks | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2008-10-30 |
| 1659495695 | Joan Menden Reese | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406467 | Debra Nipp | Pediatrics | 1661 Tice Valley Blvd Ste 100, Walnut Creek, CA 94595-1691 | 2019-06-19 |
| 1275979973 | Kartzinel Wellness Center Inc. | Pediatrics | 16263 Laguna Canyon Rd, Suite 150, Irvine, CA 92618-3609 | 2013-05-21 |
| 1528332905 | Pantea Sharifi Hannauer, M.d. Inc. | Pediatrics | 3524 Torrance Blvd., Suite 104, Torrance, CA 90503 | 2012-03-01 |
| 1891098422 | Bayard Allmond Jr. | Pediatrics | 36 Hillcrest Rd, Berkeley, CA 94705-2807 | 2010-12-21 |
| 1366654774 | Arleen Leann House Downing | Pediatrics | 2313 Old Grand St, Santa Ana, CA 92705-6967 | 2007-05-06 |
| 1861552713 | Georgia Rae Prentice | Pediatrics | 26451 Crown Valley Pky, Mission Viejo, CA 92691 | 2006-12-11 |
| 1972615227 | Paul Michael Chretien | Pediatrics | 1111 Exposition Blvd., Bldg 700, Ste 102, Sacramento, CA 95815-4335 | 2006-08-31 |
| 1790292605 | Sana Khan | Pediatrics | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-01-02 |
| 1053706267 | Brian Wong | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2015-04-03 |
| 1548697352 | Ying Peng Md, Ph.d Inc. | Pediatrics | 26451 Crown Valley Pkwy, Suite 100, Mission Viejo, CA 92691-6362 | 2013-10-11 |
| Find all providers with the same taxonomy | ||||
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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.