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MISS KRISTY MARIE GOODMAN MS, MPH, PA-C
NPI 1760810832
Physician Assistant in Santa Monica, CA

Active since October 28, 2013PECOS Enrolled
1223 20TH ST APT 102, SANTA MONICA, CA 90404(315) 573-0690 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2026, Nov 3, 2021 (2 updates tracked since 2021).

About Miss Kristy Marie Goodman Ms, Mph, Pa-c NPPES

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

MISS KRISTY MARIE GOODMAN MS, MPH, PA-C (NPI 1760810832) is an individual physician assistant in Santa Monica, California, licensed in California (51236) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760810832
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS KRISTY MARIE GOODMANCredential: MS, MPH, PA-C
Location Address1223 20TH ST APT 102Santa Monica, CA 90404-1308
Mailing Address1223 20th St Apt 102Santa Monica, CA 90404-1308 · (315) 573-0690
Phone(315) 573-0690
Sole ProprietorNo
Enumeration DateOctober 28, 2013
Last NPPES UpdateMay 23, 20262 updates tracked since enumeration
NPPES CertifiedMay 23, 2026
✔ NPI 1760810832 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 · 51236
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.
1223 20TH ST APT 102, Santa Monica, CA 90404
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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)

Miss Kristy Marie Goodman Ms, Mph, Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Kristy Goodman's NPI number?

The NPI number for Kristy Goodman is 1760810832. It was assigned to this individual provider in the NPPES registry on October 28, 2013.

Where is Kristy Goodman located?

Kristy Goodman practices at 1223 20th St Apt 102, Santa Monica, CA 90404. The listed phone number is (315) 573-0690.

What is Kristy Goodman's specialty?

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

Is Kristy Goodman enrolled in Medicare?

Yes. Kristy Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristy Goodman was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.