Active NPI
Scott Goodreau, M.D.
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1124089461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G70034
- Practice address
- 1320 Celeste Dr
Modesto, CA 95355-2402 - Phone
- (209) 527-6900
- Fax
- (209) 524-7328
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G70034 | CA | Primary |
Addresses
Primary practice location
1320 Celeste Dr
Modesto, CA 95355-2402
Mailing address
1320 Celeste Dr
Modesto, CA 95355-2402
Phone (209) 527-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Medical Group of Modesto a Professional Corp | Family Medicine | Current | Accepting new patients |
Locations
1320 Celeste Dr
Modesto, CA 95355
Phone (209) 527-6900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGEHCD
Organizations & group practices 1
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
- Modesto, CA
- NPI 1912967787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124089461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CELESTE DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552402",
"telephone_number": "209-527-6900",
"fax_number": "209-524-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CELESTE DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552402",
"telephone_number": "209-527-6900",
"fax_number": "209-524-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODREAU",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G70034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.