Active NPI
Kim M Goodwin, M.D.
- Obstetrics & Gynecology Physician
- San Diego, CA
National Provider Identifier
1669426276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A75600
- Practice address
- 7595 Cardinal Court
Suite 240
San Diego, CA 92123-3357 - Phone
- (858) 277-9378
- Fax
- (858) 277-9370
- NPI assigned
- May 19, 2006
- Last updated
- Feb 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A75600 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A75600 | CA | Primary |
Addresses
Primary practice location
7595 Cardinal Court
Suite 240
San Diego, CA 92123-3357
Mailing address
7695 Cardinal CT
Ste 240
San Diego, CA 92123-3357
Phone (858) 277-9378
Other practice location 1
6125 Paseo Del Norte Ste 200
Carlsbad, CA 92011-1113
Phone (858) 277-9378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A756000 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Warren Alpert Medical School of Brown University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7695 Cardinal CT
Suite 240
San Diego, CA 92123-3357
Phone (858) 277-9378
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75600 | CA | MD | Pharmacist |
| A75600 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- kgoodwin22299@sharphealthcare.direct-ci.com
Organizations & group practices 3
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.
-
dba West Coast Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- San Diego, CA
- NPI 1447216106
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1669426276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7695 CARDINAL CT",
"address_2": "STE 240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233357",
"telephone_number": "858-277-9378",
"fax_number": "858-277-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7595 CARDINAL COURT",
"address_2": "SUITE 240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233357",
"telephone_number": "858-277-9378",
"fax_number": "858-277-9370"
}
],
"practiceLocations": [
{
"address_1": "6125 Paseo Del Norte Ste 200",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920111113",
"country_code": "US",
"telephone_number": "858-277-9378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "KIM",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A75600",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A75600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A756000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.