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: July 26, 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
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

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

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.

Social Worker (Clinical)
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Nurse Practitioner (Family)
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Marriage & Family Therapist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Marriage & Family Therapist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Family Medicine
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Social Worker (Clinical)
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Marriage & Family Therapist
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509
Student in an Organized Health Care Education/Training Program
2335 COUNTRY HILLS DR
ANTIOCH, CA 94509

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 with the weekly NPPES data releases published by CMS.