MEDICARE: MR. GEORGE ALLAN GOODMAN MD

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
1	2084P0800X	Psychiatry Physician	C28957	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487644811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GEORGE ALLAN GOODMAN MD

Provider Business Mailing Address
First Line	:	2635 CLEVELAND AVE
Second Line	:	STE 2
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2981
Country	:	US
Telephone Number	:	707-575-4868
Fax Number	:	707-575-5870

Provider Business Practice Location Address
First Line	:	2635 CLEVELAND AVE
Second Line	:	STE 2
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2981
Country	:	US
Telephone Number	:	707-575-4868
Fax Number	:	707-575-5870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457122962 — GUTHRIE BRIDGE CMT
Practice Location Address:

2635 CLEVELAND AVE STE 3
SANTA ROSA, CA
95403-2981

Practice Phone: 707-239-9224
Practice Fax:

1457948564 — SHALINI YALAMANCHI, MD PC
Practice Location Address:

3536 MENDOCINO AVE STE 380
SANTA ROSA, CA
95403-3612

Practice Phone: 707-575-5353
Practice Fax: 707-523-7729

1912862681 — CRISTAL LIZBETH PEREZ SIERRA
Practice Location Address:

5340 SKYLANE BLVD
SANTA ROSA, CA
95403-8246

Practice Phone: 707-524-2710
Practice Fax:

1861461147 — CHRISTOPHER DI SIMONE M.D.
Practice Location Address:

3555 ROUND BARN CIR
SANTA ROSA, CA
95403-1757

Practice Phone: 707-528-1050
Practice Fax:

1295928448 — JAMIE ROBERTA YONASH
Practice Location Address:

101 WIKIUP DR STE 1
SANTA ROSA, CA
95403-1375

Practice Phone: 707-545-2700
Practice Fax:

1396001863 — ELAINE C. OLIVEIRA MD
Practice Location Address:

401 BICENTENNIAL WAY
SANTA ROSA, CA
95403-2149

Practice Phone: 718-216-5154
Practice Fax:

Directions to “ MR. GEORGE ALLAN GOODMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.