SHANTI LILA GOODEN M.D.
NPI 1801055538
Psychiatry & Neurology - Child & Adolescent Psychiatry in Oakland, CA

Q: What is Shanti Gooden's NPI number?

The NPI number for Shanti Gooden is 1801055538. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Q: What is Shanti Gooden's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Shanti Gooden was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 06, 2008PECOS Enrolled

747 52ND ST, OAKLAND, CA 94609(510) 428-3573 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, May 20, 2016 (2 updates tracked since 2016).

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About Shanti Lila Gooden M.d. NPPES

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

SHANTI LILA GOODEN M.D. (NPI 1801055538) is an individual child & adolescent psychiatry provider in Oakland, California, licensed in New York (254675) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801055538

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameSHANTI LILA GOODENCredential: M.D.

Location Address747 52ND STOakland, CA 94609-1809

Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3573

Phone(510) 428-3573

Sole ProprietorNo

Enumeration DateJune 6, 2008

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1801055538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 254675

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License 254675 (NY)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 254675 (NY)

747 52ND ST, Oakland, CA 94609

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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)

Shanti Lila Gooden M.d. 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.

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.

MRS. SHERYL LEE GARCIA RN

Registered Nurse (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ERICA TRINGALE N.P,

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3373

MRS. NATALIE PLOTKIN MS, ACPNP

Pediatrics (Pediatric Hematology-Oncology)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3484

REBECCA ROMANOV MD

Pediatrics

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3331

SHELLEY ANNE BULL CPNP-PC

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

KARIDA ADETORO

Student in an Organized Health Care Education/Training Program

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ANNIE ROQUE

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-4418

CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

General Acute Care Hospital

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

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 Shanti Gooden's NPI number?

The NPI number for Shanti Gooden is 1801055538. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Shanti Gooden located?

Shanti Gooden practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3573.

What is Shanti Gooden's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shanti Gooden enrolled in Medicare?

Yes. Shanti Gooden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shanti Gooden was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.