NPIMap

Individual provider Active NPI

Randall Goodman, MD

  • Ophthalmology Physician
  • Santa Maria, CA
National Provider Identifier
1891788436
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A90496 Issued in CA
Practice address
910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone
(805) 925-2637
Fax
(805) 347-0033
NPI assigned
Aug 30, 2005
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A90496 CA Primary

Addresses

Primary practice location

910 E Stowell Rd
Santa Maria, CA 93454-7001

Mailing address

910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone (805) 925-2637

Other identifiers 1

IdentifierTypeStateIssuer
P00289700OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000722 CA Practitioner - Ophthalmology 9537198197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone (805) 925-2637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
97.86
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery909
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90496CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Eyecare Medical Group a Medical Corporation Ophthalmology CurrentSince Sep 1, 2005 Accepting new patients
Lompoc Surgery Center LLC CurrentSince Apr 15, 2024 Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Ophthalmology Current Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Ophthalmology Past Accepting new patients
San Luis Obispo Eye Associates, a Medical Group Incorporated Ophthalmology PastSince Jan 1, 2022 Accepting new patients
Sansum Clinic Past Accepting new patients
Dignity Health Past Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Ophthalmology Past Accepting new patients

Locations

425 W Central Ave
Lompoc, CA 93436
Phone (805) 736-2020

425 W Central Ave
Ste 102
Lompoc, CA 93436
Phone (805) 736-2020

910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637

Interoperability endpoints

  • Direct secure messaging: randall.goodman@direct.shepardeye.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1891788436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001",
            "telephone_number": "805-925-2637",
            "fax_number": "805-347-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001",
            "telephone_number": "805-925-2637",
            "fax_number": "805-347-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A90496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00289700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.