Michael Goddard L DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4398 Issued in CA

Legal business name

MICHAEL GODDARD L DPM INC

Practice address

1401 N. Tustin Ave
Suite 130
Santa Ana, CA 92705-8675

Phone

(714) 542-0656

NPI assigned

Jan 25, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Goddard, D.P.M.

Title

President

Phone

(714) 542-0656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1912053992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N. TUSTIN AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N. TUSTIN AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058675",
            "telephone_number": "714-542-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GODDARD L DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-542-0656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.