Individual provider Active NPI

Hector Manuel Godinez Jr.

  • Mechanotherapist
  • Santa Rosa, CA
National Provider Identifier
1518877893
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
94591 Issued in CA
Practice address
1160 N Dutton Ave Ste 120
Santa Rosa, CA 95401-4652
Phone
(707) 541-6258
NPI assigned
Sep 9, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 94591 CA Primary

Addresses

Primary practice location

1160 N Dutton Ave Ste 120
Santa Rosa, CA 95401-4652

Mailing address

1205 Myrtle St Apt 7
Calistoga, CA 94515-1753
Phone (510) 365-4286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1518877893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MYRTLE ST APT 7",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151753",
            "telephone_number": "510-365-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE STE 120",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014652",
            "telephone_number": "707-541-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "HECTOR",
        "middle_name": "MANUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "94591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.