Individual provider Active NPI

Rakesh Kumar Goyal, MD

  • Pediatrics Physician
  • Redwood City, CA
National Provider Identifier
1629042254
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C167666 Issued in CA
Practice address
303 Iris Street
Redwood City, CA 94062-2050
Phone
(412) 980-6737
Fax
(816) 302-9939
NPI assigned
Feb 13, 2006
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C167666 CA Primary
Pediatric Hematology & Oncology Physician 2080P0207X C167666 CA

Addresses

Primary practice location

303 Iris Street
Redwood City, CA 94062-2050

Mailing address

303 Iris Street
Redwood City, CA 94062-2050
Phone (412) 980-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407003972 CA Practitioner - Pediatric Medicine 2163607060 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C167666CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics CurrentSince Mar 31, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 31, 2020 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Mar 31, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 31, 2020 Accepting new patients
University of California San Francisco CurrentSince Mar 31, 2020 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1635 Divisadero St
Ste 625
San Francisco, CA 94115
Phone (415) 476-1977

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 7

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1629042254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 IRIS STREET",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622050",
            "telephone_number": "412-980-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 IRIS STREET",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622050",
            "telephone_number": "412-980-6737",
            "fax_number": "816-302-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "RAKESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C167666",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "C167666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.