NPIMap

Organization Active NPI

Laguna Family Practice, Inc

  • Obstetrics & Gynecology Physician
  • Elk Grove, CA
National Provider Identifier
1316264641
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A71660 Issued in CA
Legal business name
LAGUNA FAMILY PRACTICE, INC
Practice address
9281 Office Park Cir
Suite 120
Elk Grove, CA 95758-8068
Phone
(916) 691-4300
Fax
(916) 691-4302
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Glenda Goodwin, M.D.NPI 1184685141
Title
Owner
Phone
(916) 691-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X A71660 CA Primary

Addresses

Primary practice location

9281 Office Park Cir
Suite 120
Elk Grove, CA 95758-8068

Mailing address

9281 Office Park Cir
Suite 120
Elk Grove, CA 95758-8068
Phone (916) 691-4300

Other names 1

  • Laguna Family Practice Other name

National Provider Directory

National Provider Directory

Locations

9281 Office Park Cir
Elk Grove, CA 95758
Phone (916) 682-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1316264641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9281 OFFICE PARK CIR",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588068",
            "telephone_number": "916-691-4300",
            "fax_number": "916-691-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9281 OFFICE PARK CIR",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588068",
            "telephone_number": "916-691-4300",
            "fax_number": "916-691-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-691-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.