Andrew Godoy

Primary specialty

DentistTaxonomy code 122300000X

License

102749 Issued in CA

Practice address

4434 University Pkwy Ste G
San Bernardino, CA 92407-4681

Phone

(909) 887-1533

NPI assigned

Oct 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Godoy DDS Inc

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1770470379
  NPD Authorized official
• Dental Corporation of Louis Z. Stromberg, DDS

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1396830246
  NPD (past)
• Gussow Dental Care Prof Corp

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1174398416
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1316413495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 W DALTON CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841424",
            "telephone_number": "725-500-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 UNIVERSITY PKWY STE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074681",
            "telephone_number": "909-887-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 N Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303425",
            "country_code": "US",
            "telephone_number": "702-395-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502944",
            "country_code": "US",
            "telephone_number": "909-392-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODOY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7741",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Gober
• George Gobles
• Hugo Gochez
• Chardae Odette Godbolt, FNP-BC
• Godoy DDS Inc
• Andrew Jacob Godoy
• Rojeania Godsey-Erb
• Godwin Abodoh
• Iliya Goldberg, M.D.
• Golden Coast Mso, Inc.

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.