David Edward Goodman, M.D., M.S.E.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G80213 Issued in CA

Practice address

300 Professional Center Dr Ste 326
Novato, CA 94947-4334

Phone

(415) 897-5400

Fax

(415) 892-9506

NPI assigned

Jan 26, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: david.goodman@31195289485316.direct.elationemr.com

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1265588511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKSIDE WAY",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041346",
            "telephone_number": "415-672-4427",
            "fax_number": "628-212-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL CENTER DR STE 326",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474334",
            "telephone_number": "415-897-5400",
            "fax_number": "415-892-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5643 Paradise Dr",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251836",
            "country_code": "US",
            "telephone_number": "415-886-2848",
            "fax_number": "415-329-1642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 Spangler Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "Copperopolis",
            "state": "CA",
            "postal_code": "952289424",
            "country_code": "US",
            "telephone_number": "209-785-7000",
            "fax_number": "209-785-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "M.D., M.S.E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G80213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.goodman@31195289485316.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Professional Center Dr Ste 326",
            "city": "Novato",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949474334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Golden Grove Viop
• Frances Louise Goldie-Marcus, L.C.S.W.
• Larrie Goldsmith, D.C.
• Keri Gomez
• Jeannie Marie Goodfield
• Anthony K Gordon, MD
• Barbara Jean Gosselin, LMFT
• Grace &Hope Homecare LLC
• Mackenzie Graham
• Karen Howe Grant

• General Practice Physician in Novato, CA
• Providers in Novato, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.

Verify at the official NPI Registry.