Madison Therese Goe, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60733 Issued in CA

Practice address

8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112

Phone

(310) 358-9008

Fax

(310) 657-8711

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madison.goe.1@25529.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

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.

• Geriheal PC

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1760014120
  Medicare reassignment Care Compare group NPD
• Parvaneh Bahmani, M.D., Inc.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1598884843
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1346994209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 350W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486112",
            "telephone_number": "310-358-9008",
            "fax_number": "310-657-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 350W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486112",
            "telephone_number": "310-358-9008",
            "fax_number": "310-657-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOE",
        "first_name": "MADISON",
        "middle_name": "THERESE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA60733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Godoy, PTA
• Godwin Ogubike Ajih
• Robert W. Godwin, PH.D.
• Samuel C Godwin, NP
• Cathleen Ann Godzik, MEDICAL DOCTOR
• Nancy Louise Goebel, D.D.S.
• Evelia A Goebelsmann, NP
• Jun Goeku, PA-C
• Gati Ajani Goel, M.D.
• Keshav Prateek Goel, MD

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.