Individual provider Active NPI

Carolyn Dawn Goodman, NP-C

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1235647728
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0013783 Issued in DE
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

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180522001300 CA Practitioner - Nurse Practitioner 5395000384 Reassigns benefits to 2 organizations
I20240627000048 TN Practitioner - Nurse Practitioner 5395000384 Reassigns benefits to 1 organization
I20260522003562 DE Practitioner - Nurse Practitioner 5395000384 Reassigns benefits to 1 organization

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

11800 Wilshire Blvd
Los Angeles, CA 90025-6602
Phone (310) 231-2121

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0013783DEMDNurse Practitioner
NPF95008234CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Dec 15, 2018 Accepting new patients
Svmhs Clinics CurrentSince Dec 15, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.