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

Dr. Jake Patrick Goodman, MD

Individual provider Psychiatry Physician · NPI 1679159545

Dr. Jake Patrick Goodman, MD is a Psychiatry Physician in Poway, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13319 Poway Rd Pmb #121
Poway, CA 92064
Phone: (858) 463-4703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A200604 (CA)

Record details

NPI number1679159545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address13319 Poway Rd, Pmb #121, Poway, CA 92064

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