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MINDY GOODLETT PHYSICIAN ASSISTANT
NPI 1366252256
Physician Assistant in San Diego, CA

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment
3900 5TH AVE STE 300, SAN DIEGO, CA 92103(858) 554-1212 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mindy Goodlett Physician Assistant NPPES

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

MINDY GOODLETT PHYSICIAN ASSISTANT (NPI 1366252256) is an individual physician assistant in San Diego, California, licensed in California (67305) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366252256
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMINDY GOODLETTCredential: PHYSICIAN ASSISTANT
Location Address3900 5TH AVE STE 300San Diego, CA 92103-3138
Mailing Address50100 Golsh RdValley Center, CA 92082-5338 · (760) 215-3670
Phone(858) 554-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 13, 2025
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1366252256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 67305
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3900 5TH AVE STE 300, San Diego, CA 92103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mindy Goodlett Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749756971
PECOS Enrollment IDI20260421003076
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 92103 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 9

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

LORRAINE PENG NP
Nurse Practitioner (Psychiatric/Mental Health)
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
ANH NGUYEN PA
Physician Assistant
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
MS. AMY SUSAN CAPORELLO FNP-BC
Nurse Practitioner (Family)
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
AIMEE GARCIA FNP-BC
Nurse Practitioner
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (619) 750-8562
JULIA PEDERSON DNP
Nurse Practitioner
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
MS. NAOMI FLORENCE JENKINS
Physician Assistant
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
MELROSE MEDICAL GROUP, INC.
General Practice
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 886-8177
MARILYN CLAYTON NP
Nurse Practitioner (Family)
3900 5TH AVE STE 300
SAN DIEGO, CA 92103
San Diego County (858) 554-1212

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 Mindy Goodlett's NPI number?

The NPI number for Mindy Goodlett is 1366252256. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Mindy Goodlett located?

Mindy Goodlett practices at 3900 5th Ave Ste 300, San Diego, CA 92103. The listed phone number is (858) 554-1212.

What is Mindy Goodlett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mindy Goodlett enrolled in Medicare?

Yes. Mindy Goodlett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mindy Goodlett was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.