Glenda Darlene Goodwin, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

A71660 Issued in CA

Practice address

1106 Windfield Way
Suite 2
El Dorado Hills, CA 95762-9360

Phone

(916) 941-6500

Fax

(916) 691-4300

NPI assigned

Mar 30, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Beyond Physical Medicine and Rehabilitation, Inc

  • Non-Pharmacy Dispensing Site
  • El Dorado Hills, CA
  • NPI 1225336126
  NPD (past) Authorized official
• Laguna Family Practice, Inc

  • Obstetrics & Gynecology Physician
  • Elk Grove, CA
  • NPI 1316264641
  NPD (past) Authorized official
• Beyond Physical Medicine and Rehabilitation Inc

  • Sports Medicine (Family Medicine) Physician
  • El Dorado Hills, CA
  • NPI 1659610236
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1184685141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WINDFIELD WAY",
            "address_2": "SUITE 2",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629360",
            "telephone_number": "916-941-6500",
            "fax_number": "916-691-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WINDFIELD WAY",
            "address_2": "SUITE 2",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629360",
            "telephone_number": "916-941-6500",
            "fax_number": "916-691-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "GLENDA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71660",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A71660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A716600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Age Transportation LLC
• Geoffrey Gomez, PHARMD, MPH
• Maya Gonzalez
• Meghan Gonzalez
• Norma Gonzalez
• Jayda Gordon
• Shelly Sue Goscha, LCSW
• Claire Maurenn Goss
• Lauren Grace
• Reanna Grant

• Sports Medicine (Family Medicine) Physician in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.