Individual provider Active NPI

Roberto Godinez, FNP

  • Nurse Practitioner
  • Madera, CA
National Provider Identifier
1801311543
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95029983 Issued in CA
Practice address
344 E 6TH St
Madera, CA 93638-3631
Phone
(559) 664-4000
NPI assigned
Aug 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95029983 CA Primary

Addresses

Primary practice location

344 E 6TH St
Madera, CA 93638-3631

Mailing address

4311 Norwood Ave Apt 146
Sacramento, CA 95838-2678
Phone (323) 599-3423

Other practice location 1

333 University Ave Ste 120
Sacramento, CA 95825-6532
Phone (916) 929-8564

Other identifiers 1

IdentifierTypeStateIssuer
1013030808MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123002781 CA Practitioner - Nurse Practitioner 7719416536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029983CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Nov 21, 2024 Accepting new patients
Camarena Health Current Accepting new patients
Camarena Health CurrentSince Nov 21, 2024 Accepting new patients

Locations

285 Hospital Dr
Chowchilla, CA 93610
Phone (559) 665-3768

300 Prosperity Blvd
Chowchilla, CA 93610

2520 E Pacheco Blvd
Los Banos, CA 93635
Phone (596) 644-4142

16645 Road 26
Madera, CA 93638

1130 Country Club Dr
Ste E
Madera, CA 93638
Phone (559) 673-3297

705 W Pecan Ave
Madera, CA 93637
Phone (760) 326-0222

760 E Almond Ave
Madera, CA 93637

740 E Almond Ave
Madera, CA 93637

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

2339 W Cleveland Ave
Ste 103
Madera, CA 93637
Phone (559) 665-0275

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • Direct secure messaging: roberto.godinez.1@25900.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1801311543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 NORWOOD AVE APT 146",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382678",
            "telephone_number": "323-599-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 6TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383631",
            "telephone_number": "559-664-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 University Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256532",
            "country_code": "US",
            "telephone_number": "916-929-8564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "ROBERTO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013030808",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.