C Stephen Goetz MD Inc

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

632226 Issued in CA

Legal business name

C STEPHEN GOETZ MD INC

Practice address

6401 Coyle Ave
#315
Carmichael, CA 95608-0310

Phone

(916) 966-6444

Fax

(916) 966-9077

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

C Stephen Goetz, MD

Title

Medical Doctor Owner

Phone

(916) 966-6444

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1952319964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 COYLE AVE",
            "address_2": "#315",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080310",
            "telephone_number": "916-966-6444",
            "fax_number": "916-966-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 COYLE AVE",
            "address_2": "#315",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080310",
            "telephone_number": "916-966-6444",
            "fax_number": "916-966-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C STEPHEN GOETZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
        "authorized_official_telephone_number": "916-966-6444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "632226",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "632226",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "632226",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "632226",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "632226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ06024Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Marie Burt, PPSC, LCSW
• Heidi Elizabeth Bushnell, REGISTERED NURSE
• Kim Butler
• Steven M Butler I, MFT
• Vanessa D Byrd
• David Ray Cable, RADT
• Sandra I Caldwell, AU.D
• California Home Care Services
• Adrian Camacho
• Robert L Cameto, MD

• Dermatopathology Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.