Clara Michelle Goodman

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3530 S Val Vista Dr Ste C101
Gilbert, AZ 85297-7318

Phone

(602) 491-0703

Fax

(833) 661-1781

NPI assigned

Jul 31, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
• Direct secure messaging: clara.goodman.1@24378.direct.athenahealth.com

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.

• Healthyu Family Medicine, LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1669149787
  Medicare reassignment Care Compare group
• Donsky Bogle Dermatology LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1982849691
  Medicare reassignment
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505

  Single Specialty

  NPD
• Clin-Path Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1922079706

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1003589383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "602-491-0703",
            "fax_number": "480-631-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE C101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "602-491-0703",
            "fax_number": "833-661-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CLARA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8716",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125904",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Homes
• Good Sound Audiology PLLC
• Good Star LLC
• Elizabeth Adams Good, OTR/L
• Brian Joseph Goodman, D,D,S
• Hailee Ann Goodman
• Jennifer Anne Goodman, SLPA
• Jennifer C Goodman
• Tanner Goodman, DMD
• Taylor Goodman

• Medical Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.