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

Brandon Goenawan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508645029

Brandon Goenawan is a Student in an Organized Health Care Education/Training Program in San Jose, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

751 S Bascom Ave
San Jose, CA 95128-2604
Phone: (408) 885-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508645029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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