| Dr Suzan R Goodman, MD, MPH | |
|
600 Marine Blvd, Moss Beach, CA 94038-9641 | |
| (650) 563-7107 | |
| Not Available |
| Full Name | Dr Suzan R Goodman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 600 Marine Blvd, Moss Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316098866 | NPI | - | NPPES |
| 00G822820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G082282 (California) | Primary |
| Entity Name | Planned Parenthood Shasta Diablo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982763090 PECOS PAC ID: 7012807134 Enrollment ID: O20050713001139 |
| Entity Name | Foothill Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659683720 PECOS PAC ID: 7012033236 Enrollment ID: O20100924001115 |
| Entity Name | California Emergency Physicians Medical Group A Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215365218 PECOS PAC ID: 3274763875 Enrollment ID: O20140227000392 |
| Entity Name | Nes Western Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487125019 PECOS PAC ID: 4587902952 Enrollment ID: O20190208002821 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzan R Goodman, MD, MPH 600 Marine Blvd, Moss Beach, CA 94038-9641 Ph: (650) 563-7107 | Dr Suzan R Goodman, MD, MPH 600 Marine Blvd, Moss Beach, CA 94038-9641 Ph: (650) 563-7107 |
Vishnupriya Rajagopal, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Marine Blvd, Moss Beach, CA 94038 Phone: 650-728-5521 | |
Matthew Joseph Vuksinich, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Marine Blvd, Moss Beach, CA 94038 Phone: 650-728-5521 |