Michael Joseph Goodman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33620 Issued in CA

Practice address

1323 Newbury Rd Ste 107
Newbury Park, CA 91320-3678

Phone

(805) 728-9121

NPI assigned

Jun 20, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1366892457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 NEWBURY RD STE 107",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203678",
            "telephone_number": "805-728-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 NEWBURY RD STE 107",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203678",
            "telephone_number": "805-728-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Celeste Godfrey, NONE
• Robin Goldfinger, OTR/L
• Ryan Gonzales
• Carla Gonzalez
• Victoria Samantha Gonzalez
• Arad Allen Goudarzi, PHARM D.
• Grace Wang
• Graceful Care Hospice, Inc.
• Graceful Home Health Services, Inc
• Gratitude and Grit Physical Therapy Inc.

• Chiropractor in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.