Individual provider Active NPI

Neal Godwin

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1780963777
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A13484 Issued in CA
Practice address
11500 Brookshire Avenue
Downey, CA 90241
Phone
(562) 904-5000
Fax
(562) 904-5140
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A13484 CA Primary

Addresses

Primary practice location

11500 Brookshire Avenue
Downey, CA 90241

Mailing address

12624 Misty PL
Cerritos, CA 90703-6070
Phone (562) 243-1977

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021002656 CA Practitioner - HospitalistPractitioner - Internal Medicine 8729209499 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9333 Imperial Hwy
Downey, CA 90242-2812
Phone (800) 923-4040

9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000

9353 Imperial Hwy
Downey, CA 90242-2812
Phone (562) 657-9000

9449 Imperial Hwy
Downey, CA 90242-2814
Phone (562) 461-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13484CAMDAddiction (Substance Use Disorder) Counselor
20A13484CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Mar 1, 2016 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Mar 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 5, 2015 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 5, 2015 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

9400 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-6064

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1780963777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 MISTY PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036070",
            "telephone_number": "562-243-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVENUE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-904-5000",
            "fax_number": "562-904-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "NEAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9400 Rosecrans Ave",
            "city": "Bellflower",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907062246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.