Good Samaritan Medical Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOOD SAMARITAN MEDICAL GROUP INC.

Practice address

4343 Market St Ste C
Riverside, CA 92501-3567

Phone

(951) 784-7406

Fax

(951) 784-7409

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vien D Doan, DONPI 1720017148

Title

Medical Director

Phone

(951) 784-7406

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vien D Doan, D.O.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1720017148
  Medicare reassignment Care Compare group NPD Authorized official
• Tin Thanh Chu, MD

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1922748862
  Medicare reassignment Care Compare group NPD
• Ashley Doan

  • Physician Assistant
  • Riverside, CA
  • NPI 1932918034
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1649015942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 MARKET ST STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013567",
            "telephone_number": "951-784-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 MARKET ST STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013567",
            "telephone_number": "951-784-7406",
            "fax_number": "951-784-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "VIEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-784-7406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xochitl A Gonzalez
• Yadira Gonzalez
• Yamilet Gonzalez
• Yelitza Gonzalez
• Helen A. Goo, MD
• Good Shepherd Healthcare LLC
• Karla Goodlander
• Jeremy Goodlin
• Jennifer Cherie Goodlow
• Evelynn Flores Goodman, LVN

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.