Organization Active NPI

Karen E. Goodrich, M.D. Inc.

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1447414974
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A82414 Issued in CA
Legal business name
KAREN E. GOODRICH, M.D. INC.
Practice address
1428 Phillips LN
Suite 201
San Luis Obispo, CA 93401-2537
Phone
(805) 548-8545
Fax
(805) 548-8548
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Karen Elaine Goodrich, M.D.
Title
Physician
Phone
(805) 598-2827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A82414 CA Primary

Addresses

Primary practice location

1428 Phillips LN
Suite 201
San Luis Obispo, CA 93401-2537

Mailing address

1428 Phillips LN
Suite 201
San Luis Obispo, CA 93401-2537
Phone (805) 548-8545

National Provider Directory

National Provider Directory

Locations

1428 Phillips Ln
Ste 201
San Luis Obispo, CA 93401
Phone (805) 541-1060

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1447414974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN",
            "address_2": "SUITE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012537",
            "telephone_number": "805-548-8545",
            "fax_number": "805-548-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN",
            "address_2": "SUITE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012537",
            "telephone_number": "805-548-8545",
            "fax_number": "805-548-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E. GOODRICH, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-598-2827",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A82414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.