Individual provider Active NPI

Edward Godinez

  • Mental Health Counselor
  • Commerce, CA
National Provider Identifier
1720127673
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone
(323) 318-9960
Fax
(323) 780-3211
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5628 E Slauson Ave
Commerce, CA 90040-2922

Mailing address

5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (323) 318-9960

Other practice location 1

19401 S Vermont Ave
Torrance, CA 90502-1029
Phone (310) 323-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1720127673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 E SLAUSON AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402922",
            "telephone_number": "323-318-9960",
            "fax_number": "323-780-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 E SLAUSON AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402922",
            "telephone_number": "323-318-9960",
            "fax_number": "323-780-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19401 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905021029",
            "country_code": "US",
            "telephone_number": "310-323-6887",
            "fax_number": "310-323-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.