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NPI Code Detail

MEDICARE: DR. EVAN ROSS GOODMAN M.D.

MEDICARE: DR. EVAN ROSS GOODMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianA168861CA

General Provider Information

NPI Number : 1841685120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVAN ROSS GOODMAN M.D.
Provider Business Mailing Address
First Line : 6221 METROPOLITAN ST STE 201
Second Line :
City : CARLSBAD
State : CA
Zip : 92009-3096
Country : US
Telephone Number : 760-753-7127
Fax Number : 760-334-0399
Provider Business Practice Location Address
First Line : 6221 METROPOLITAN ST STE 201
Second Line :
City : CARLSBAD
State : CA
Zip : 92009-3096
Country : US
Telephone Number : 760-753-7127
Fax Number : 760-334-0399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 05/26/2026

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Directions to “ DR. EVAN ROSS GOODMAN M.D.” Practice Location

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