Active NPI
Sandra Lynn Goines, D.O.
- Family Medicine Physician
- Los Alamitos, CA
National Provider Identifier
1790756054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2OA8212
- Practice address
- 5242 Katella Ave
Suite 106
Los Alamitos, CA 90720-2863 - Phone
- (562) 431-5010
- Fax
- (562) 431-7278
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2OA8212 | CA | Primary |
Addresses
Primary practice location
5242 Katella Ave
Suite 106
Los Alamitos, CA 90720-2863
Mailing address
5242 Katella Ave
Suite 106
Los Alamitos, CA 90720-2863
Phone (562) 431-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8481336 | Medicaid | CA |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2OA8212 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1790756054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 KATELLA AVE",
"address_2": "SUITE 106",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202863",
"telephone_number": "562-431-5010",
"fax_number": "562-431-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5242 KATELLA AVE",
"address_2": "SUITE 106",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202863",
"telephone_number": "562-431-5010",
"fax_number": "562-431-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOINES",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "2OA8212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8481336",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.