Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Goodrum, PA-C

Individual provider Physician Assistant · NPI 1245077577

Andrew Goodrum, PA-C is a Physician Assistant in San Leandro, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13690 E 14th St Ste 200
San Leandro, CA 94578-2584
Phone: (510) 297-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66152 (CA)

Record details

NPI number1245077577
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing addressPo Box 14376, San Francisco, CA 94114-0376

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