LISA ANN GOODMAN MD
NPI 1619079522
Pediatrics - Pediatric Hematology-Oncology in Palo Alto, CA

Q: What is Lisa Goodman's NPI number?

The NPI number for Lisa Goodman is 1619079522. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Lisa Goodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Goodman was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Mar 6, 2023, Dec 20, 2021 (3 updates tracked since 2021).

On this page

About Lisa Ann Goodman Md NPPES

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

LISA ANN GOODMAN MD (NPI 1619079522) is an individual pediatric hematology-oncology provider in Palo Alto, California, licensed in California (G64092) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of University Of California, Geffen School Of Medicine (1983).

NPPES Registry Identity

NPI1619079522

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameLISA ANN GOODMANCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1983

Enumeration DateSeptember 1, 2006

Last NPPES UpdateApril 16, 20243 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1619079522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in CA · G64092

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License G64092 (CA)

725 WELCH RD, Palo Alto, CA 94304

Open in Google Maps ↗

Secondary Practice Location 1

Location 1275 W MacArthur BlvdOakland, CA 94611-5641 · Phone (510) 752-1000

Other Identifiers 2

Other00G640920CA · Blue Shield

Medicaid00G640920CA

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

Lisa Ann Goodman Md 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 ID9537175377

PECOS Enrollment IDI20060302000405

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 20

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

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)