AMY D GOODMAN CRNA NPI 1942292701

NPI Information

  • NPI: 1942292701
  • Provider Name: AMY D GOODMAN, CRNA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Individual
  • Address: 1375 OAKWOOD CT
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (970) 379-5531

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NPI Details

Amy D Goodman, CRNA is a clinic center in San Luis Obispo, CA with 27 years of experience. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Amy D Goodman, CRNA NPI is 1942292701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1375 OAKWOOD CT
SAN LUIS OBISPO, CA
ZIP 93401-918
Phone: (970) 379-5531

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.

  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for exam of colon using an endoscope (HCPCS:00812)
  • Anesthesia for procedure on small and large bowel using an endoscope (HCPCS:00813)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)

The enumeration date for this NPI number is 8/18/2005 and was last updated on 6/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredCRNA000233NEVADANo
2367500000XNurse Anesthetist, Certified RegisteredCRNA-183907COLORADONo
3261Q00000XClinic/Center2974CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100503782MEDICAIDNEVADA
21942292701MEDICARE PINCOLORADO
339674MEDICARE PINNEVADA

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: 11/21/2025

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