MARIJO GOODSITE PA
NPI 1619229564
Physician Assistant - Medical in Colton, CA

Q: What is Marijo Goodsite's NPI number?

The NPI number for Marijo Goodsite is 1619229564. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Q: What is Marijo Goodsite's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marijo Goodsite was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 02, 2012PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marijo Goodsite Pa NPPES

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

MARIJO GOODSITE PA (NPI 1619229564) is an individual medical provider in Colton, California and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619229564

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARIJO GOODSITECredential: PA

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address134 Greenwood HtsBellevue, OH 44811-1049 · (419) 217-0061

Phone(909) 580-1000

Sole ProprietorNo

Enumeration DateOctober 2, 2012

✔ NPI 1619229564 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

400 N PEPPER AVE, Colton, CA 92324

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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)

Marijo Goodsite Pa 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

19 services19 patients

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

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