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BRANDON GOENAWAN
NPI 1508645029
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since September 25, 2023
751 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brandon Goenawan NPPES

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

BRANDON GOENAWAN (NPI 1508645029) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1508645029
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON GOENAWAN
Location Address751 S BASCOM AVESan Jose, CA 95128-2604
Mailing Address751 S Bascom AveSan Jose, CA 95128-2604 · (408) 885-5000
Phone(408) 885-5000
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1508645029 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.
751 S BASCOM AVE, San Jose, CA 95128
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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.

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

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 Brandon Goenawan's NPI number?

The NPI number for Brandon Goenawan is 1508645029. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Brandon Goenawan located?

Brandon Goenawan practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Brandon Goenawan'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 Brandon Goenawan was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.