Individual provider Active NPI

Glenn Robert Gookin, M.D., PH.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1285184929
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A145429 Issued in CA
Practice address
7500 Hospital Dr
Sacramento, CA 95823-5403
Phone
(916) 681-1600
NPI assigned
Oct 6, 2016
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 A145429 CA Primary

Addresses

Primary practice location

7500 Hospital Dr
Sacramento, CA 95823-5403

Mailing address

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 681-1900

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
I20180502001447 CA Practitioner - Family Practice 1759645534 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
Dignity Community CareGroup PAC ID 9032458013, 9 clinicians

Practice addresses (Care Compare)

11670 Atwood Rd
Auburn, CA 95603-9522
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945-5208
Phone (530) 477-8545

280 Sierra College Dr
Suite 120
Grass Valley, CA 95945-5763
Phone (530) 477-4420

7601 Hospital Dr
Suite 103
Sacramento, CA 95823-5408
Phone (916) 681-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A145429CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jul 9, 2022 Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Sep 15, 2020 Accepting new patients
Dignity Community Care CurrentSince Jul 1, 2022 Accepting new patients
Grass Valley Radiation Oncology CurrentSince Jan 23, 2022 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Community Care CurrentSince Jul 1, 2022 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 9, 2022 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Carbon Health Medical Group of California PC Family Medicine Past Accepting new patients
Carbon Health Primary Care of California PC Family Medicine PastSince May 2, 2026 Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

155 Glasson Way
Bldg 3
Grass Valley, CA 95945
Phone (530) 274-6600

280 Sierra College Dr
Ste 120
Grass Valley, CA 95945
Phone (530) 477-4420

300 Sierra College Dr
Ste 150
Grass Valley, CA 95945
Phone (530) 274-6600

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

7601 Hospital Dr
Ste 103
Sacramento, CA 95823
Phone (916) 681-1600

8120 Timberlake Way
Ste 107
Sacramento, CA 95823
Phone (916) 681-1866

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: glenn.gookin@cdih.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 10

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 4

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1285184929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HOSPITAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235403",
            "telephone_number": "916-681-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HOSPITAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235403",
            "telephone_number": "916-681-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOKIN",
        "first_name": "GLENN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A145429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.