NPIMap

Organization Active NPI

Glenda Goodwin MD Inc

  • Obstetrics & Gynecology Physician
  • Elk Grove, CA
National Provider Identifier
1699094706
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A71660 Issued in CA
Legal business name
GLENDA GOODWIN MD INC
Practice address
7811 Laguna Blvd
Suite 216
Elk Grove, CA 95758-7941
Phone
(916) 691-4300
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Glenda Darlene Goodwin, M.D.
Title
President
Phone
(916) 284-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X A71660 CA Primary

Addresses

Primary practice location

7811 Laguna Blvd
Suite 216
Elk Grove, CA 95758-7941

Mailing address

8156 Polo Crosse Ave
Sacramento, CA 95829-6545

National Provider Directory

National Provider Directory
Tax ID family
Glenda Goodwin MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7811 Laguna Blvd
Ste 216
Elk Grove, CA 95758
Phone (916) 691-4300

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1699094706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 POLO CROSSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958296545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD",
            "address_2": "SUITE 216",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587941",
            "telephone_number": "916-691-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA GOODWIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-284-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.