Organization Active NPI

Paul J Godin MD Inc a California Professional Corporation

  • Pulmonary Disease Physician
  • Redwood City, CA
National Provider Identifier
1518248855
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PAUL J GODIN MD INC A CALIFORNIA PROFESSIONAL CORPORATION
Practice address
143 Birch St
Redwood City, CA 94062-1306
Phone
(650) 576-9617
Fax
(650) 230-1225
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Paul J Godin, M.D.
Title
President
Phone
(650) 576-9617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

143 Birch St
Redwood City, CA 94062-1306

Mailing address

413 Seymour St
Half Moon Bay, CA 94019-2059
Phone (650) 576-9617

National Provider Directory

National Provider Directory

Locations

143 Birch St
Redwood City, CA 94062
Phone (650) 366-1141

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1518248855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SEYMOUR ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192059",
            "telephone_number": "650-576-9617",
            "fax_number": "650-230-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BIRCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621306",
            "telephone_number": "650-576-9617",
            "fax_number": "650-230-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J GODIN MD INC A CALIFORNIA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-576-9617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.