Individual provider Active NPI

Susan V. Goodwin, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1447279450
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26725 Issued in CA
Practice address
1800 Oak Park Blvd
Suite B
Pleasant Hill, CA 94523-4479
Phone
(925) 287-0130
Fax
(925) 287-4637
NPI assigned
Jul 19, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26725 CA Primary

Addresses

Primary practice location

1800 Oak Park Blvd
Suite B
Pleasant Hill, CA 94523-4479

Mailing address

1800 Oak Park Blvd
Suite B
Pleasant Hill, CA 94523-4479
Phone (925) 287-0130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001090 CA Practitioner - Chiropractic 0547385536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Chiropractic College WestGroup PAC ID 9234178138, 7 clinicians

Practice addresses (Care Compare)

25001 Industrial Blvd
Hayward, CA 94545-2801
Phone (510) 780-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26725CAMDChiropractor
26725CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Chiropractic College West Chiropractor CurrentSince Jun 29, 2017 Accepting new patients
Goodwin Chiropractic Inc. Chiropractor CurrentSince Jan 8, 2008 Accepting new patients

Locations

25001 Industrial Blvd
Hayward, CA 94545
Phone (510) 780-4500

1800 Oak Park Blvd
Ste B
Pleasant Hill, CA 94523
Phone (925) 287-0130

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1447279450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 OAK PARK BLVD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234479",
            "telephone_number": "925-287-0130",
            "fax_number": "925-287-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OAK PARK BLVD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234479",
            "telephone_number": "925-287-0130",
            "fax_number": "925-287-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "SUSAN",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.