Individual provider Active NPI

Mitchell Andrew Goettman, DO

  • Surgery Physician
  • Yuba City, CA
National Provider Identifier
1437573045
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101020938 Issued in MI
Practice address
481 Plumas Blvd Ste 202
Yuba City, CA 95991-5075
Phone
(530) 749-2409
NPI assigned
Feb 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A17209 CA
Surgery Physician 208600000X 5101020938 MI Primary

Addresses

Primary practice location

481 Plumas Blvd Ste 202
Yuba City, CA 95991-5075

Mailing address

481 Plumas Blvd Ste 202
Yuba City, CA 95991-5075
Phone (530) 749-2409

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017000616 CA Practitioner - General Surgery 3678790318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

481 Plumas Blvd
Suite 202
Yuba City, CA 95991-5075
Phone (530) 749-2409

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16
Coronary artery bypass graft (CABG)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17209CAMDSurgery Physician
5101020938MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Clearlake Hospital Inc. CurrentSince Oct 3, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 1, 2019 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 1, 2019 Accepting new patients
Rideout Memorial Hospital Past Accepting new patients
Michael R. Cosenza, DPM, Inc. PastSince Feb 28, 2018 Accepting new patients

Locations

111 Raley Blvd
Ste 140
Chico, CA 95928
Phone (530) 342-5776

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000

481 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 674-2851

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1437573045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PLUMAS BLVD STE 202",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915075",
            "telephone_number": "530-749-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PLUMAS BLVD STE 202",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915075",
            "telephone_number": "530-749-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTMAN",
        "first_name": "MITCHELL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A17209",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101020938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.