Active NPI
Godfrey Frederick Mix, D.P.M.
- Podiatrist
- Sacramento, CA
National Provider Identifier
1780609974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1227
- Practice address
- 5025 J St
Suite 316
Sacramento, CA 95819-3839 - Phone
- (916) 732-2277
- Fax
- (916) 732-2280
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1227 | CA | Primary |
Addresses
Primary practice location
5025 J St
Suite 316
Sacramento, CA 95819-3839
Mailing address
5025 J St
Suite 316
Sacramento, CA 95819-3839
Phone (916) 732-2277
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1227 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1780609974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 J ST",
"address_2": "SUITE 316",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193839",
"telephone_number": "916-732-2277",
"fax_number": "916-732-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 J ST",
"address_2": "SUITE 316",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193839",
"telephone_number": "916-732-2277",
"fax_number": "916-732-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIX",
"first_name": "GODFREY",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.