Daniel M Goodman, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G063650 Issued in CA

Practice address

1465 Victor Ave
Suite a
Redding, CA 96003-4856

Phone

(530) 605-4557

Fax

(530) 605-4531

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 7, 2017 through Feb 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lifespan the Center for Aging and Regenerative Medicine

  • Anesthesiology Physician
  • Redding, CA
  • NPI 1447504147
  NPD (past) Authorized official
• Raileen Carreon Lagoc, M.D., Inc.

  • Pediatrics Physician
  • Redding, CA
  • NPI 1396888095
  NPD (past)
• Shasta Anesthesia Consultants a Medical Group Inc

  • Anesthesiology Physician
  • Redding, CA
  • NPI 1467406603
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1003987355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-605-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 VICTOR AVE",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034856",
            "telephone_number": "530-605-4557",
            "fax_number": "530-605-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G063650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin Gonzalez
• Maxine Gonzalez
• Pablo L Gonzalez, DMD
• Good Vibes Psychiatry Nursing Corp.
• Shawn Eugene Goodall, MD
• Jennifer Goodman
• Ross Goodrich, P.A.
• Alissa Goodwin, MD
• Michele Gorby
• Alyssa Gordon

• Anesthesiology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.

Verify at the official NPI Registry.