Active NPI
Charles M Goodwin, D.C.,L.AC
- Acupuncturist
- Santa Cruz, CA
National Provider Identifier
1457492639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC6842
- Practice address
- 111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626 - Phone
- (831) 429-1188
- Fax
- (831) 429-1396
- NPI assigned
- Feb 9, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17690 | CA | |
| Acupuncturist | 171100000X | AC6842 | CA | Primary |
Addresses
Primary practice location
111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626
Mailing address
111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626
Phone (831) 429-1188
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 |
|---|---|---|---|
| AC6842 | CA | MD | Acupuncturist |
| 17690 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457492639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DAKOTA AVE STE 2",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950606626",
"telephone_number": "831-429-1188",
"fax_number": "831-429-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DAKOTA AVE STE 2",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950606626",
"telephone_number": "831-429-1188",
"fax_number": "831-429-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "D.C.,L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17690",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.