Active NPI
Danielle Nebal Hindi-Goodman, PA-C
- Physician Assistant
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56464
- Practice address
- 11234 Anderson St
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4000
- NPI assigned
- Jan 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA56464 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 824-5464
Other practice location 1
9898 Genesee Ave
LA Jolla, CA 92037-1205
Phone (858) 824-5464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123
9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56464 | CA | MD | Dentist |
| PA56464 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Physician Assistant | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
9898 Genesee Ave
Fl 5
La Jolla, CA 92037
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
4044 5th Ave
San Diego, CA 92103
Phone (619) 452-7350
Interoperability endpoints
- dhindi257550@direct.llu.edu
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Temecula Valley Emergency Physicians
- Emergency Medicine Physician
- Temecula, CA
- NPI 1407281223
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Radiation Oncology Physician
- San Bernardino, CA
- NPI 1588273148
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
Physician Assistant
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043242563
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1710441977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-824-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4000"
}
],
"practiceLocations": [
{
"address_1": "9898 Genesee Ave",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371205",
"country_code": "US",
"telephone_number": "858-824-5464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINDI-GOODMAN",
"first_name": "DANIELLE",
"middle_name": "NEBAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2023-06-28",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56464",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.