AARON GODDU (NPI# 1710380332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710380332 |
| Entity Type | Individual |
| Full Name | AARON GODDU |
| Practice Address |
456 Elm Ave Long Beach CA 90802-2426 |
| Mailing Address |
100 W Broadway Long Beach CA 90802-4431 |
| Practice Telephone | 5624476717 |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2014-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
456 ELM AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649304783 | Esther Wang | Social Worker | 456 Elm Ave, Long Beach, CA 90802-2426 | 2007-03-14 |
| 1942811666 | Adewole Williams | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-08-14 |
| 1073143012 | Aubree Skyler Ocana | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-01-17 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1215579917 | Jasmine Michelle Hernandez | Case Manager/Care Coordinator | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-10-14 |
| 1326699554 | Matthew Brett Ambrose | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-29 |
| 1659920866 | Melissa A Reyna | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-10 |
| 1952950446 | Bradley I Hinds | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-06 |
| 1578112447 | Cora Maxwell Orrett | Registered Nurse | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-04 |
| 1245888726 | Evan Brown Kuchel | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419239 | Region Home Therapy Corp | Rehabilitation Practitioner | 854 E Broadway Apt 3p, Long Beach, NY 11561-4731 | 2020-05-20 |
| 1104475896 | Margaret Tham | Rehabilitation Practitioner | 2201 E Anaheim St Ste 200, Long Beach, CA 90804-3411 | 2019-09-05 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1356786008 | Natalie Jayne Pierson | Rehabilitation Practitioner | 456 Elm Ave., Long Beach, CA 90802 | 2013-05-08 |
| 1801170972 | Christina Burton Tompkins | Rehabilitation Practitioner | 3918 E Mayfield St, Apartment A, Long Beach, CA 90804-4106 | 2011-10-06 |
| 1396059416 | Kimiko Merzouk | Rehabilitation Practitioner | 850 East Wardlow Rd, Long Beach, CA 90807 | 2010-07-30 |
| 1033431481 | Saundria C. Zomalt | Rehabilitation Practitioner | 6770 N Paramount Blvd, Unit #a, Long Beach, CA 90805-1902 | 2010-02-25 |
| 1134455488 | Gemma Tarape | Rehabilitation Practitioner | 2241 W Williams St, Long Beach, CA 90810-3652 | 2009-10-21 |
| 1649411547 | James Whitfield Bemis | Rehabilitation Practitioner | 814 Atlantic Ave, #303, Long Beach, CA 90813-4547 | 2009-03-23 |
| 1275773673 | Armida Cortez | Rehabilitation Practitioner | 3391 Pasadena Ave, Long Beach, CA 90807-4521 | 2009-02-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.