Andrew Goodrum, PA-C
NPI 1245077577 · Physician Assistant · San Leandro, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Goodrum, PA-C is a Physician Assistant provider in San Leandro, CA (NPI 1245077577).
Provider details
- NPI number
- 1245077577
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA66152 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3100 Telegraph AveOakland, CA 94609-3239Phone: (800) 607-6377
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Frequently asked questions
- What is Andrew Goodrum's NPI number?
- Andrew Goodrum's National Provider Identifier (NPI) is 1245077577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Goodrum's specialty?
- Andrew Goodrum is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrew Goodrum located?
- Andrew Goodrum's practice location on file with NPPES is 13690 E 14th St Ste 200, San Leandro, CA 94578-2584.
- What is Andrew Goodrum's phone number?
- The practice phone number listed in the NPPES registry for Andrew Goodrum is (510) 297-0550.
- Does Andrew Goodrum accept Medicare?
- Andrew Goodrum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Goodrum's NPI active?
- Yes — Andrew Goodrum's NPI (1245077577) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.