Lisa Ann Goodman
MD | Pediatric Hematology-Oncology | Female
Lisa Ann Goodman, MD is a Palo Alto, California based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Lisa Ann Goodman is
725 Welch Rd, Palo Alto, California - 94304-1601. She can be contacted on phone at
650-497-8000.
Lisa Ann Goodman is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa Ann Goodman is
1619079522 which was assigned by NPPES on 01 Sep, 2006 and it was last updated on 06 Mar, 2023.
Lisa Ann Goodman license number is
G64092 for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in California.
Lisa Ann Goodman is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Lisa Ann Goodman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Hematology-Oncology |
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| Provider Name : | Lisa Ann Goodman |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lisa Ann Goodman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 725 Welch Rd
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619079522 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Sep, 2006 |
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| Last Updated On : | 06 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Ann Goodman are as mentioned. Primary taxonomy code for Lisa Ann Goodman, MD is
2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G64092 | CA |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | Yes | G64092 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Lisa Ann Goodman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G640920 | Other (non-Medicare) | CA | BLUE SHIELD |
| 00G640920 | MEDICARE ID-Type Unspecified | CA | |
| 00G640920 | MEDICAID | CA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
275 W MACARTHUR BLVD,
OAKLAND, CA, 94611-5641
United States | OAKLAND, CA | 510-752-1000 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 275 W MacArthur Blvd,
Oakland, CA, 94611-5641
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 725 Welch Rd
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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Business Location:
Patients can refer following map for directions to
Lisa Ann Goodman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.