Individual provider Active NPI

Donald Terrence Godbold, MD

  • Emergency Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1871556746
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A51364 Issued in CA
Practice address
3916 State St
Emergency Department
Santa Barbara, CA 93105-5602
Phone
(800) 563-3000
NPI assigned
Apr 10, 2006
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A51364 CA Primary

Addresses

Primary practice location

3916 State St
Emergency Department
Santa Barbara, CA 93105-5602

Mailing address

1883 Gibbs Ave
Atwater, CA 95301-8469
Phone (209) 358-3701

Other identifiers 1

IdentifierTypeStateIssuer
00A513640MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20081226000235 AZ Practitioner - Emergency Medicine 7618927302 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51364CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
303 Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 22, 2013 Accepting new patients
Northwest Tucson Emergency Physicians, PC Emergency Medicine PastSince Sep 30, 2015 Accepting new patients
California Em-I Medical Services Emergency Medicine Past Accepting new patients
West Suburban Medical Center Past Accepting new patients
Az Corridor Emergency Physicians Emergency Medicine Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients
Prairie Schooner Emergency Physicians, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1871556746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 GIBBS AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953018469",
            "telephone_number": "209-358-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 STATE ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055602",
            "telephone_number": "800-563-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLD",
        "first_name": "DONALD",
        "middle_name": "TERRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A51364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A513640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.