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LARRESE GOODEN
NPI 1194462531
Student in an Organized Health Care Education/Training Program in Antioch, CA

Active since May 17, 2022
2335 COUNTRY HILLS DR, ANTIOCH, CA 94509(925) 812-1269 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larrese Gooden NPPES

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

LARRESE GOODEN (NPI 1194462531) is an individual student in an organized health care education/training program in Antioch, California and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1194462531
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLARRESE GOODEN
Location Address2335 COUNTRY HILLS DRAntioch, CA 94509-7319
Mailing Address2335 Country Hills DrAntioch, CA 94509-7319 · (925) 812-1269
Phone(925) 812-1269
Sole ProprietorNo
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1194462531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2335 COUNTRY HILLS DR, Antioch, CA 94509
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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.

MRS. ELIZABETH INDIANA SILIEZAR
Peer Specialist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8700
JIMENA SALCEDO
Marriage & Family Therapist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8700
MYESHA DANIELL RICHARDSON M.A.
Marriage & Family Therapist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8700
CONTRA COSTA COUNTY
Clinic/Center (Adolescent and Children Mental Health)
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 957-5429
MARIA AZIZ AMFT
Marriage & Family Therapist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8700
DR. ALANA RENEE RUSSAW LAADC, MPH, PSY.D.
Rehabilitation Practitioner
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8736
DESIREE P ESPINOZA
Nurse Practitioner (Pediatrics)
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8500
TALIA RUTH FIRESTEIN MD
Family Medicine
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Contra Costa County (925) 608-8550

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 Larrese Gooden's NPI number?

The NPI number for Larrese Gooden is 1194462531. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Larrese Gooden located?

Larrese Gooden practices at 2335 Country Hills Dr, Antioch, CA 94509. The listed phone number is (925) 812-1269.

What is Larrese Gooden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Larrese Gooden was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.