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SAMANTHA GOGGIN MD
NPI 1023506367
Pediatrics in San Diego, CA

Active since April 23, 2018PECOS Enrolled
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT, SAN DIEGO, CA 92105(619) 255-9154(619) 795-9847 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, Jul 29, 2021, Apr 23, 2018 (3 updates tracked since 2018).

About Samantha Goggin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA GOGGIN MD (NPI 1023506367) is an individual pediatrics provider in San Diego, California, licensed in California (A163693) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023506367
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA GOGGINCredential: MD
Location Address4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENTSan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608
Phone(619) 255-9154
Fax(619) 795-9847
Sole ProprietorNo
Enumeration DateApril 23, 2018
Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1023506367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A163693
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4060 FAIRMOUNT AVE, San Diego, CA 92105
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Other Identifiers 1

Other132662American Board Of Pediatrics

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Goggin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DORA DOAN O.D.
Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 961-0803
DIANA P ALVAREZ MSW
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 295-6047
KALEELAH RAE, NAJA MUHAMMAD
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 280-4213
DR. ADLA TESSIER M.D.
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
San Diego County (619) 255-9155
CYNTHIA MIRANDA PSYD
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-8765
TONYA DANIELLE DANIEL LCSW
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-1612
NYAKOACH LAM ACSW
Social Worker
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 285-7097
BRYAN HARTER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 280-4213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Goggin's NPI number?

The NPI number for Samantha Goggin is 1023506367. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Samantha Goggin located?

Samantha Goggin practices at 4060 Fairmount Ave Pediatrics Department, San Diego, CA 92105. The listed phone number is (619) 255-9154.

What is Samantha Goggin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Goggin enrolled in Medicare?

Yes. Samantha Goggin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Goggin was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.