TATIANA VICTORIA GOODWIN (NPI# 1619529898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619529898 |
| Entity Type | Individual |
| Full Name | TATIANA VICTORIA GOODWIN |
| Practice Address |
298 Bernal Rd San Jose CA 95119-1809 |
| Practice Telephone | 4084048673 |
| Mailing Telephone | 4084048673 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
298 BERNAL RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790982957 | Gloria Jean Sepulveda | Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2007-06-29 |
| 1972128767 | Annette P Manzo | Rehabilitation Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2020-06-08 |
| 1144863630 | Emily Spencer | Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-10-28 |
| 1144877648 | Sokunthea Chea | Licensed Psychiatric Technician | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-08-20 |
| 1316592397 | Chi Nguyen Buu Tran | Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-08-06 |
| 1548815582 | Arret Keita | Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-08-06 |
| 1972158251 | Robert Carrizales Sr. | Case Manager/Care Coordinator | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-08-05 |
| 1487208245 | Yodit T Tesfay | Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-07-30 |
| 1043871825 | Felicia Ann Hoffman | Counselor | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-06-24 |
| 1891356671 | Alan Le | Registered Nurse | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553951 | Berneise Billote Montuya | Peer Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-18 |
| 1609409473 | Julia Diane Helfrich | Peer Specialist | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-19 |
| 1891327102 | Salma Shaw | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-02-05 |
| 1982249785 | Sophia Chung | Peer Specialist | 800 N 1st St, San Jose, CA 95112-6312 | 2019-11-15 |
| 1447893490 | Melissa Elicia Cruz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-10-22 |
| 1356812747 | Shirley Jacqueline Reyes | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2018-12-10 |
| 1881194306 | Lohrie Arruiza | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-02-21 |
| 1477093219 | Victoria Cardenas | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-27 |
| 1871032524 | Alberto Ruiz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-14 |
| 1720526601 | Stephen Gilligan Tull | Peer Specialist | 86 S 14th St, San Jose, CA 95112-2015 | 2017-02-10 |
| Find all providers in SAN JOSE | ||||
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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.