Individual provider Active NPI

Anika Godhwani, DO

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1275829756
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12411 Issued in CA
Practice address
830 Scenic Dr
Modesto, CA 95350-6131
Phone
(209) 541-2470
Fax
(209) 541-2996
NPI assigned
Jun 23, 2011
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12411 CA Primary

Addresses

Primary practice location

830 Scenic Dr
Modesto, CA 95350-6131

Mailing address

PO Box 577197
Modesto, CA 95357-7197
Phone (510) 209-3752

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000607 CA Practitioner - Family Practice 4486879483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525

2101 Tenaya Dr
Modesto, CA 95354-3930
Phone (209) 722-4842

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12411CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince May 15, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center CurrentSince May 15, 2024 Accepting new patients
Hospitalists of Modesto Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Golden Valley Health Center Past Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients

Locations

3109 E Whitmore Ave
Ceres, CA 95307
Phone (209) 541-2929

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1524 McHenry Ave
Ste 570
Modesto, CA 95350
Phone (209) 572-3880

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

401 Paradise Rd
Ste E101
Modesto, CA 95351

401 Paradise Rd
Ste E102
Modesto, CA 95351
Phone (209) 558-4000

401 Paradise Rd
Ste E103
Modesto, CA 95351

401 Paradise Rd
Ste E104
Modesto, CA 95351

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1275829756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577197",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577197",
            "telephone_number": "510-209-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-541-2470",
            "fax_number": "209-541-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODHWANI",
        "first_name": "ANIKA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.