Active NPI
Carol Veneracion-Godoy, PA-C
- Physician Assistant
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19520
- Practice address
- 8706 Imperial Hwy
Downey, CA 90242-3906 - Phone
- (562) 923-8300
- Fax
- (562) 923-8334
- NPI assigned
- Mar 17, 2008
- Last updated
- Jul 13, 2011
- 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 | PA19520 | CA | Primary |
Addresses
Primary practice location
8706 Imperial Hwy
Downey, CA 90242-3906
Mailing address
8706 Imperial Hwy
Downey, CA 90242-3906
Phone (562) 923-8300
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5979 Atlantic Ave
Long Beach, CA 90805-3510
Phone (562) 423-0421
8706 Imperial Hwy
Downey, CA 90242-3906
Phone (213) 792-0334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group, Inc | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Past | Accepting new patients |
Locations
8706 Imperial Hwy
Downey, CA 90242
Phone (562) 923-8300
711 E Rosecrans Ave
East Rancho Dominguez, CA 90221
Phone (310) 635-5223
12131 Carson St
Hawaiian Gardens, CA 90716
Phone (562) 809-0299
5979 Atlantic Ave
Long Beach, CA 90805
Phone (562) 423-0421
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
dba Kinder Heart
- Cardiovascular Disease Physician
- San Gabriel, CA
- NPI 1447485206
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1477685436
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1639126279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1760653885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8706 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423906",
"telephone_number": "562-923-8300",
"fax_number": "562-923-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8706 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423906",
"telephone_number": "562-923-8300",
"fax_number": "562-923-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENERACION-GODOY",
"first_name": "CAROL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.