Individual provider · Type 1 NPI

Andrew Goodrum, PA-C

Physician Assistant · San Leandro, CA

NPI number 1245077577 Active

Practice location

13690 E 14th St Ste 200
San Leandro, CA 94578-2584

Mailing address

PO Box 14376
San Francisco, CA 94114-0376

Other practice locations

  • 3100 Telegraph Ave, Oakland, CA 94609-3239 · (800) 607-6377

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA66152 (CA)

Physician Assistant: 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, orde…

4 other providers at this address

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About NPI 1245077577

Andrew Goodrum, PA-C's National Provider Identifier is 1245077577, issued on Jul 12, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Leandro, CA. The record was last updated on Jun 3, 2025.