Organization Active NPI

MC Godoy, Inc.

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1770633547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27482 Issued in CA
Legal business name
MC GODOY, INC.
Practice address
415 E Dryden St
Unit 101
Glendale, CA 91207-2229
Phone
(818) 281-5906
Fax
(818) 241-5213
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Cecilia Godoy
Title
President
Phone
(818) 281-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 27482 CA Primary

Addresses

Primary practice location

415 E Dryden St
Unit 101
Glendale, CA 91207-2229

Mailing address

415 E Dryden St Apt 101
Unit 101
Glendale, CA 91207-2251
Phone (818) 281-5906

National Provider Directory

National Provider Directory

Locations

3130 Wilshire Blvd
Ste 107
Los Angeles, CA 90010
Phone (213) 739-2226

15361 Brookhurst St
Westminster, CA 92683
Phone (714) 839-8820

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770633547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E DRYDEN ST APT 101",
            "address_2": "UNIT 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072251",
            "telephone_number": "818-281-5906",
            "fax_number": "818-241-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E DRYDEN ST",
            "address_2": "UNIT 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072229",
            "telephone_number": "818-281-5906",
            "fax_number": "818-241-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC GODOY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODOY",
        "authorized_official_first_name": "MARIA CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-281-5906"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.