Active NPI
William Hammack Goodson III, MD
- Surgery Physician
- San Francisco, CA
National Provider Identifier
1760508311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G28869
- Practice address
- 2100 Webster Street
#401
San Francisco, CA 94115-2378 - Phone
- (415) 923-3925
- Fax
- (415) 776-1977
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G28869 | CA | Primary |
Addresses
Primary practice location
2100 Webster Street
#401
San Francisco, CA 94115-2378
Mailing address
2100 Webster Street
#401
San Francisco, CA 94115-2378
Phone (415) 923-3925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 29, 2012 through Nov 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28869 | CA | MD | Clinical Social Worker |
| G28869 | CA | MD | Surgery Physician |
Interoperability endpoints
- wgoodson30029@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760508311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WEBSTER STREET",
"address_2": "#401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152378",
"telephone_number": "415-923-3925",
"fax_number": "415-776-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER STREET",
"address_2": "#401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152378",
"telephone_number": "415-923-3925",
"fax_number": "415-776-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSON",
"first_name": "WILLIAM",
"middle_name": "HAMMACK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G28869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.