Active NPI
Donald C Goodwin, DC
- Chiropractor
- La Mirada, CA
National Provider Identifier
1356565451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 18772
- Practice address
- 12255 La Mirada Blvd
Suite B
La Mirada, CA 90638-0862 - Phone
- (562) 941-3377
- Fax
- (562) 697-0245
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 18772 | CA | Primary |
Addresses
Primary practice location
12255 La Mirada Blvd
Suite B
La Mirada, CA 90638-0862
Mailing address
PO Box 862
La Mirada, CA 90637-0862
Phone (562) 941-3377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18772 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356565451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906370862",
"telephone_number": "562-941-3377",
"fax_number": "562-697-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 LA MIRADA BLVD",
"address_2": "SUITE B",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906380862",
"telephone_number": "562-941-3377",
"fax_number": "562-697-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "DONALD",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.