Individual provider Active NPI

Kaitlin Nicole Goods, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1285201616
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65818 Issued in CA
Practice address
8635 W 3Rd St Ste 675
Los Angeles, CA 90048-6109
Phone
(310) 423-5874
Fax
(310) 423-0139
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X PA9114482 FL
Physician Assistant 363A00000X PA9114482 FL
Physician Assistant 363A00000X PA10002 CA
Physician Assistant 363A00000X PA65818 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 675
Los Angeles, CA 90048-6109

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 423-5874

Other practice location 1

5147 N 9th Ave Ste 103
Pensacola, FL 32504-8770
Phone (850) 416-1900

Other practice location 2

30870 Russell Ranch Rd Ste 330
Westlake Village, CA 91362-7372
Phone (805) 497-7015

Other names 1

  • Kaitlin Nicole Woods Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614001768 CA Practitioner - Physician Assistant 5294138756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

4949 Market St
Ventura, CA 93003-7851
Phone (877) 608-0044

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000

888 S Hill Rd
Ventura, CA 93003-8400
Phone (805) 477-6400

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
81.42 of 100Reported as group
Quality
68.57
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65818CAMDPharmacist
PA9114482FLMDOrthopaedic Trauma Physician
PA10002CAMDPhysician Assistant
PA65818CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jul 21, 2025 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 21, 2025 Accepting new patients

Locations

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Organizations & group practices 5

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1285201616",
    "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": "310-423-5874",
            "fax_number": "310-423-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 675",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486109",
            "telephone_number": "310-423-5874",
            "fax_number": "310-423-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5147 N 9th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048770",
            "country_code": "US",
            "telephone_number": "850-416-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30870 Russell Ranch Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913627372",
            "country_code": "US",
            "telephone_number": "805-497-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODS",
        "first_name": "KAITLIN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "PA9114482",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114482",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10002",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "WOODS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.