Active NPI
Carolyn Dawn Goodman, NP-C
- Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0013783
- Practice address
- 11800 Wilshire Blvd
Los Angeles, CA 90025-6602 - Phone
- (310) 582-7900
- Fax
- (310) 582-7996
- NPI assigned
- Jan 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0013783 | DE | Primary |
| Family Nurse Practitioner | 363LF0000X | NPF95008234 | CA |
Addresses
Primary practice location
11800 Wilshire Blvd
Los Angeles, CA 90025-6602
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 582-7900
Other practice location 1
18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480
Phone (302) 645-3770
Other practice location 2
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3770
Other practice location 3
32750 Roxana Rd
Millville, DE 19967-6980
Phone (302) 645-3770
Other practice location 4
1301 Sunset Dr Ste 3
Johnson City, TN 37604-7906
Phone (423) 588-7130
Other names 1
- Carolyn Dawn Trivette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 Wilshire Blvd
Los Angeles, CA 90025-6602
Phone (310) 231-2121
Hospital & facility affiliations
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0013783 | DE | MD | Nurse Practitioner |
| NPF95008234 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current | Accepting new patients | |
| Svmhs Clinics | Current | Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients |
Locations
505 E Romie Ln
Ste A
Salinas, CA 93901
Phone (831) 755-1701
1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866
Interoperability endpoints
- cgoodman436233@direct.cshs.org
Organizations & group practices 6
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- Physical Therapist
- Salinas, CA
- NPI 1518486893
-
- Specialist
- Salinas, CA
- NPI 1134279532
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1235647728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-582-7900",
"fax_number": "310-582-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256602",
"telephone_number": "310-582-7900",
"fax_number": "310-582-7996"
}
],
"practiceLocations": [
{
"address_1": "18947 John J Williams Hwy Unit 101",
"address_purpose": "LOCATION",
"city": "Rehoboth Beach",
"state": "DE",
"postal_code": "199714480",
"country_code": "US",
"telephone_number": "302-645-3770",
"fax_number": "302-645-5718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 Savannah Rd",
"address_purpose": "LOCATION",
"city": "Lewes",
"state": "DE",
"postal_code": "199581462",
"country_code": "US",
"telephone_number": "302-645-3770",
"fax_number": "302-645-5718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32750 Roxana Rd",
"address_purpose": "LOCATION",
"city": "Millville",
"state": "DE",
"postal_code": "199676980",
"country_code": "US",
"telephone_number": "302-645-3770",
"fax_number": "302-645-5718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Sunset Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376047906",
"country_code": "US",
"telephone_number": "423-588-7130",
"fax_number": "423-588-7128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "CAROLYN",
"middle_name": "DAWN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0013783",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NPF95008234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "TRIVETTE",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
- 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.