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MS. CAROLYN GAYLE GOBLE PA-C NPI 1063777217


NPI Information

NPI: 1063777217
Provider Name: MS. CAROLYN GAYLE GOBLE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2020 SANTA MONICA BLVD
SUITE 400
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-2663
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MS. Carolyn Gayle Goble, PA-C is a surgical physician assistant in Santa Monica, CA with 12 years of experience. MS. Carolyn Gayle Goble, PA-C NPI is 1063777217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

2020 SANTA MONICA BLVD
SUITE 400
SANTA MONICA, CA
ZIP 90404-023
Phone: (310) 829-2663
Fax: (310) 315-2037

The NPI 1063777217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 7/12/2012 and was last updated on 7/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical22319CALIFORNIANo
2363AS0400XPhysician AssistantSurgical22319CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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