Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kristy Marie Goodman, MS, MPH, PA-C

Individual provider Physician Assistant · NPI 1760810832

Miss. Kristy Marie Goodman, MS, MPH, PA-C is a Physician Assistant in Santa Monica, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
MPH — Master of Public Health
A graduate degree in population health.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1223 20th St Apt 102
Santa Monica, CA 90404-1308
Phone: (315) 573-0690
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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 51236 (CA)

Record details

NPI number1760810832
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MPH , PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2013
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026

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