MARK GOODMAN (NPI# 1629005780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629005780 |
| Entity Type | Individual |
| Full Name | MARK GOODMAN |
| Credential | MD |
| Practice Address |
3200 Long Beach Blvd Long Beach CA 90807-5062 |
| Mailing Address |
2360 Pacific Ave Long Beach CA 90806-3051 |
| Practice Telephone | 5629332000 |
| Practice Fax Number | 5624947792 |
| Mailing Telephone | 5629816856 |
| Mailing Fax Number | 5624267792 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A31080 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A310800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215148127 | Mark Norman Goodman | Anesthesiology | 14813 Hollyhock Dr, Oklahoma City, OK 73142-1829 | 2007-05-24 |
| 1578638391 | Mark E. Goodman | Physical Therapy Assistant | 1709 N Walnut St, Hartford City, IN 47348-1359 | 2006-11-21 |
| 1851307813 | Mark Wesley Goodman | Dentist | 801 E Tamarack Rd, Altus, OK 73521-1231 | 2006-07-31 |
| 1629039854 | Mark David Goodman | Psychologist | 125 W. 2nd Avenue, Suite E, Hutchinson, KS 67501-5300 | 2006-03-29 |
| 1518463959 | Mark Goodman | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2018-04-04 |
| 1801328455 | Mark Ariel Goodman | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219 | 2017-04-03 |
| 1609223908 | Mark Brandon Goodman | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514 | 2016-05-17 |
| 1093158354 | Mark Jeffrey Goodman | Counselor | 210 W Galer St, Seattle, WA 98119-3332 | 2013-04-16 |
| 1568749687 | Mark Goodman | Counselor | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2011-11-03 |
| 1609018860 | Mark Quincy Goodman | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2009-04-01 |
| Street Address |
3200 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255475653 | Joanna Denise Cain | Marriage & Family Therapist | 3200 Long Beach Blvd, Long Beach, CA 90807-5062 | 2007-02-18 |
| 1013079953 | Carron Steffanie Williams | Counselor | 3200 Long Beach Blvd, Long Beach, CA 90807-5062 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134635667 | Selem Care | Pediatrics | 2700 N Bellflower Blvd Ste 201, Long Beach, CA 90815-1144 | 2017-12-20 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1487997334 | Dominick Figueroa | Pediatrics | 500 W Willow St Ste 101, Long Beach, CA 90806-2831 | 2013-03-28 |
| 1871833228 | Paul Russell Thompson | Pediatrics | 3030 Marna Ave, Long Beach, CA 90808-4401 | 2013-02-21 |
| 1093068330 | Solomon Laktineh, M.d. A Medical Corporation | Pediatrics | 6624 Cherry Ave, Long Beach, CA 90805-1715 | 2012-10-24 |
| 1013274679 | Tara Sutherland | Pediatrics | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2012-04-19 |
| 1215208962 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 540 E. Artesia Boulevard, Long Beach, CA 90805-1476 | 2012-01-25 |
| 1053681544 | Karing Pediatrics Medical Group | Pediatrics | 6628 Cherry Ave, Long Beach, CA 90805-1715 | 2011-12-30 |
| 1750612719 | Cindy Ugochi Njemanze | Pediatrics | 5191 Cherry Ave, Apt 1, Long Beach, CA 90805-6243 | 2010-01-14 |
| 1609004530 | Elaine Yang | Pediatrics | 455 E Columbia St Ste 201206, Long Beach, CA 90806-1620 | 2009-06-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.