Organization Active NPI

Humangood Socal

  • Internal Medicine Physician
  • Duarte, CA
National Provider Identifier
1811743131
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HUMANGOOD SOCAL
Practice address
1763 Royal Oaks Dr
Duarte, CA 91010-1970
Phone
(925) 924-7100
NPI assigned
Apr 26, 2024
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Mr. Andrew James McDonald
Title
Cfo
Phone
(925) 924-7196

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1763 Royal Oaks Dr
Duarte, CA 91010-1970

Mailing address

1900 Huntington Dr
Duarte, CA 91010-2694
Phone (925) 924-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510001070 CA Part B Supplier - Clinic/Group Practice 8022104611 Receives reassigned benefits from 1 practitioner
Practice locations: Duarte, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Humangood Socal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valle Verde Health FacilitySanta Barbara, CA, CCN 055733 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 12, 1993
Mar 12, 1993
Royal Oaks Manor - Bradbury OaksDuarte, CA, CCN 555503 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 2, 1988
Jan 1, 1967
Jan 1, 1967
Regents Point - WindcrestIrvine, CA, CCN 555295 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Feb 2, 1988
Feb 2, 1988
Feb 2, 1988
Plymouth VillageRedlands, CA, CCN 055914 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
Piedmont Gardens Health FacilityOakland, CA, CCN 056096 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
The Terraces at Los Altos Health FacilityLos Altos, CA, CCN 055210 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
Rosewood Health FacilityBakersfield, CA, CCN 555116 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1977
Jan 1, 1977
The Terraces of Los GatosLos Gatos, CA, CCN 555547 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 1969
Redwood Terrace Health CenterEscondido, CA, CCN 555146 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Oct 1, 2018
Apr 15, 1992
Apr 15, 1992

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1811743131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102694",
            "telephone_number": "925-924-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 ROYAL OAKS DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101970",
            "telephone_number": "925-924-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD SOCAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "925-924-7196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.