DR. SUZANNE GOH-HATTANGADI (NPI# 1427176700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427176700 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE GOH-HATTANGADI |
| Other Name | DR. SUZANNE GOH |
| Credential | M.D. |
| Practice Address |
7090 Miratech Dr San Diego CA 92121-3109 |
| Practice Telephone | 8583046440 |
| Mailing Telephone | 8583046440 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
A93905 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A93905 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7090 MIRATECH DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184541 | Adrian King | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-06 |
| 1285235028 | Eric Villanueva | Physical Therapy Assistant | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-06 |
| 1669073755 | Daniella J Gonzalez | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-04 |
| 1245831775 | Karla Samantha Wade | Assistant Behavior Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-11-02 |
| 1861092561 | Jasmin Shahir Haddad | Behavioral Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-30 |
| 1437757903 | Natalie Perez | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-15 |
| 1750988044 | Sarah Stumpf | Behavioral Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-08 |
| 1154928752 | Marialisa Grassa | Behavioral Analyst | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-10-06 |
| 1740896216 | Desiree Nicole Martin | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-09-21 |
| 1902412844 | Troy R Randy Campbell | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1295811990 | Judy Goldstein | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2006-10-27 |
| 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 |
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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.