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MADELINE GOULD
NPI 1457786121
Physician Assistant - Medical in San Bernardino, CA

Active since September 12, 2013PECOS Enrolled
565 N. MOUNT VERNON AVE, SAN BERNARDINO, CA 92411(909) 884-9091(909) 383-7013 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Gould NPPES

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

MADELINE GOULD (NPI 1457786121) is an individual medical provider in San Bernardino, California, licensed in California (PA23151) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457786121
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADELINE GOULD
Location Address565 N. MOUNT VERNON AVESan Bernardino, CA 92411
Mailing Address565 N Mount Vernon AveSan Bernardino, CA 92411-2661 · (909) 884-9091 · Fax (909) 383-7013
Phone(909) 884-9091
Fax(909) 383-7013
Sole ProprietorNo
Enumeration DateSeptember 12, 2013
✔ NPI 1457786121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA23151
565 N. MOUNT VERNON AVE, San Bernardino, CA 92411
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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 (PECOS)

Madeline Gould 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.

Other Providers at the Same Location NPPES

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

ANGIE BAGHERI COOK DO
Pediatrics
565 N. MOUNT VERNON AVE
SAN BERNARDINO, CA 92411
San Bernardino County (909) 884-9091

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 Madeline Gould's NPI number?

The NPI number for Madeline Gould is 1457786121. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Madeline Gould located?

Madeline Gould practices at 565 N. Mount Vernon Ave, San Bernardino, CA 92411. The listed phone number is (909) 884-9091.

What is Madeline Gould's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madeline Gould enrolled in Medicare?

Yes. Madeline Gould is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeline Gould was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.