Goodwill Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A50311 Issued in CA

Legal business name

GOODWILL MEDICAL CLINIC, INC.

Practice address

2011 Beverly Blvd
Los Angeles, CA 90057-2403

Phone

(213) 412-4777

Fax

(213) 416-4478

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Ann Winkler, M.D,

Title

President/Medical Director

Phone

(213) 413-4777

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1669836946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "213-412-4777",
            "fax_number": "213-416-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "213-412-4777",
            "fax_number": "213-416-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-413-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50311",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A50311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Loretta Goodridge, NP
• Aurielle Lanae Goods
• Kaitlin Nicole Goods, PA-C
• Nichole Irene Goodsmith, MD, PHD
• Goodwill Community Health Center Inc.
• Brittney Goodwin
• Devin Goodwin
• Diamond Marie Goodwin, MD, MHS
• Jade Goodwin, LVN
• Thomas M Goodwin, M.D.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 May 16, 2016; 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.