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

Mindy Goodlett, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1366252256

Mindy Goodlett, PHYSICIANASSISTANT is a Physician Assistant in San Diego, California. Qualified in 2025, 1 year ago. Practices with Indian Health Council Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

3900 5th Ave Ste 300
San Diego, CA 92103-3138
Phone: (858) 554-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 67305 (CA)

Record details

NPI number1366252256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Indian Health Council Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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