Charles David Goodman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G58389 Issued in CA

Practice address

18350 Roscoe Blvd Ste 706
Northridge, CA 91325-5602

Phone

(818) 993-1614

Fax

(818) 993-1341

NPI assigned

Jul 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336163807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 706",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255602",
            "telephone_number": "818-993-1614",
            "fax_number": "818-993-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 706",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255602",
            "telephone_number": "818-993-1614",
            "fax_number": "818-993-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G58389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "00G583891",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265829",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Alexandrew Gonzalez
• Tania Gonzalez
• Vanessa Eleonora Gonzalez, BA, BCAT, BCBA
• Good Heart Hospice Care, Incorporation
• Juanita-Victoria Goode
• Kenneth Jay Goodman, L.C.S.W.
• Arthur L Gordon, MD
• Richard Kenneth Gordon, M.D.
• Steven Robert Goring
• GPS Medical, Inc

• Pediatrics Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.