MR. JUSTIN TYLER GOODRO
NPI 1770002297
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since September 15, 2017
2008 N GAREY AVE, POMONA, CA 91767(909) 242-7640 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 15, 2017 (2 updates tracked since 2017).

About Mr. Justin Tyler Goodro NPPES

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

MR. JUSTIN TYLER GOODRO (NPI 1770002297) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1770002297
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JUSTIN TYLER GOODRO
Location Address2008 N GAREY AVEPomona, CA 91767-2722
Mailing Address2008 N Garey AvePomona, CA 91767-2722 · (909) 242-7640
Sole ProprietorNo
Enumeration DateSeptember 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1770002297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

2008 N GAREY AVE, Pomona, CA 91767

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.

Rehabilitation Practitioner
2008 N GAREY AVE
POMONA, CA 91767
Marriage & Family Therapist
2008 N GAREY AVE
POMONA, CA 91767
Social Worker (Clinical)
2008 N GAREY AVE
POMONA, CA 91767
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Peer Specialist
2008 N GAREY AVE
POMONA, CA 91767
Student in an Organized Health Care Education/Training Program
2008 N GAREY AVE
POMONA, CA 91767
Community Health Worker
2008 N GAREY AVE
POMONA, CA 91767

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 Justin Goodro's NPI number?

The NPI number for Justin Goodro is 1770002297. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Justin Goodro located?

Justin Goodro practices at 2008 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 242-7640.

What is Justin Goodro'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 Justin Goodro was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.