Active NPI
Alissa Goodwin, MD
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1003222050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A169755
- Practice address
- 2510 Airpark Dr Ste 201
Redding, CA 96001-2461 - Phone
- (530) 244-4034
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60969215 | WA | |
| Family Medicine Physician | 207Q00000X | A169755 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2510 Airpark Dr Ste 201
Redding, CA 96001-2461
Mailing address
PO Box 434
Arlee, MT 59821-0434
Phone (406) 270-4897
Other practice location 1
3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011
Phone (503) 494-8220
Other practice location 2
407 S Mount Shasta Blvd Ste 5
Mount Shasta, CA 96067-2559
Phone (406) 270-4897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 28, 2026 through May 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169755 | CA | MD | Family Medicine Physician |
| MD60969215 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Family Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
2510 Airpark Dr
Ste 201
Redding, CA 96001
Phone (530) 244-4034
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Redding, CA
- NPI 1487640868
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1003222050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 434",
"city": "ARLEE",
"state": "MT",
"postal_code": "598210434",
"telephone_number": "406-270-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 AIRPARK DR STE 201",
"city": "REDDING",
"state": "CA",
"postal_code": "960012461",
"telephone_number": "530-244-4034"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_2": "OHSU",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-8220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "407 S Mount Shasta Blvd Ste 5",
"address_purpose": "LOCATION",
"city": "Mount Shasta",
"state": "CA",
"postal_code": "960672559",
"country_code": "US",
"telephone_number": "406-270-4897",
"fax_number": "501-381-8950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "ALISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60969215",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A169755",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.