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

Tabitha Goodman-Cordero

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508691783

Tabitha Goodman-Cordero is a Student in an Organized Health Care Education/Training Program in San Jose, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

438 N White Rd
San Jose, CA 95127-1439
Phone: (408) 510-6284
Fax: (408) 642-6052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-HADQEZ (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508691783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2024
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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