ARIELLE ABIGAIL GOAN (NPI# 1699333997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699333997 |
| Entity Type | Individual |
| Full Name | ARIELLE ABIGAIL GOAN |
| Practice Address |
1050 N Broadway Escondido CA 92026-3044 |
| Mailing Address |
782 Las Palmas Dr Vista CA 92081-6600 |
| Practice Telephone | 7609089647 |
| Mailing Telephone | 7609605956 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CA | Other Service Providers |
| Street Address |
1050 N BROADWAY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548773641 | Candice Redden | Case Manager/Care Coordinator | 1050 N Broadway, Escondido, CA 92026-3044 | 2017-11-10 |
| 1730701566 | Renee Isabelle Hirschfeld | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2020-05-14 |
| 1922666262 | Angela Nayeli T Favela | Case Manager/Care Coordinator | 1050 N Broadway, Escondido, CA 92026-3044 | 2019-06-02 |
| 1760040158 | Alvar Roy | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2019-05-31 |
| 1831699180 | Tiana Vargas | Case Manager/Care Coordinator | 1050 N Broadway, Escondido, CA 92026-3044 | 2018-02-13 |
| 1164935201 | Jared Alexander Zachary I | Case Manager/Care Coordinator | 1050 N Broadway, Escondido, CA 92026-3044 | 2017-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1174065403 | Rashida Black | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026 | 2016-11-17 |
| Find all providers in zip 92026 | ||||
| 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 |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1487108700 | Orlando Barahona | Peer Specialist | 490 N. Grape Street, Escondido, CA 92025 | 2016-08-04 |
| 1730701566 | Renee Isabelle Hirschfeld | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2020-05-14 |
| 1548817364 | Melissa J Greenberg | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-08-26 |
| 1366094542 | Michael Terrance Hall | Peer Specialist | 490 N Grape St, Escondido, CA 92025-3079 | 2019-07-09 |
| 1760040158 | Alvar Roy | Peer Specialist | 1050 N Broadway, Escondido, CA 92026-3044 | 2019-05-31 |
| 1053881508 | Efrain Eliseo Quintero | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-11-27 |
| 1386123370 | Cory Devin Mackinnon | Peer Specialist | 490 N Grape St, Escondido, CA 92025-3079 | 2018-08-09 |
| 1235632829 | Kiloren Lorraine Woolley | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-03-09 |
| Find all providers in ESCONDIDO | ||||
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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.