DR. CHARLES DAVID GOODMAN (NPI# 1336163807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336163807 |
| Entity Type | Individual |
| Full Name | DR. CHARLES DAVID GOODMAN |
| Credential | M.D. |
| Practice Address |
18350 Roscoe Blvd Ste 706 Northridge CA 91325-5602 |
| Practice Telephone | 8189931614 |
| Practice Fax Number | 8189931341 |
| Mailing Telephone | 8189931614 |
| Mailing Fax Number | 8189931341 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G58389 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PROVIDER NUMBER | 00G583891 | 01 |
| CA | 1265829 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396016465 | Charles Fredrick Goodman | General Practice | 15256 Bellecourt, Saratoga, CA 95070-6407 | 2012-01-22 |
| 1093850380 | Charles B. Goodman | Optometrist | 2841 Home Ave, Berwyn, IL 60402-2951 | 2007-02-21 |
| 1184773517 | Charles Barry Goodman | Chiropractor | 425 Lombard St, Thousand Oaks, CA 91360-5898 | 2007-01-08 |
| 1720346984 | Charles Michael Goodman | Dentist | 28282 Dequindre Rd, Warren, MI 48092-5604 | 2012-04-25 |
| 1164547105 | Charles Harrell Goodman | Dentist | 2835 N Sheffield Ave, Suite 408, Chicago, IL 60657 | 2007-03-20 |
| 1801951439 | Charles Edward Goodman Jr. | Dermatology | 320 East Main Street, Murfreesboro, TN 37130 | 2006-12-26 |
| 1821013848 | Charles Dehard Goodman | Chiropractor | 751 Blossom Hill Rd, Suite A1, Los Gatos, CA 95032-3583 | 2006-07-12 |
| Street Address |
18350 ROSCOE BLVD STE 706 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992105175 | Frances M. Tinker, Md | Pediatrics | 17300 Marilla St, Northridge, CA 91325-1824 | 2014-08-25 |
| 1306026034 | Garabed Kayekjian, M.d., Inc. | Pediatrics | 18250 Roscoe Blvd Ste 130, Northridge, CA 91325-4264 | 2007-11-09 |
| 1053467274 | Bellaflor Villanueva Trompeta | Pediatrics | 18433 Roscoe Blvd Ste 104, Northridge, CA 91325-4127 | 2007-01-29 |
| 1043203763 | Garabed Kayekjian | Pediatrics | 18250 Roscoe Blvd, Suite 130, Northridge, CA 91325-4226 | 2005-08-28 |
| 1780828780 | Andree Villanueva Trompeta | Pediatrics | 18433 Roscoe Blvd Ste 104, Northridge, CA 91325-4127 | 2009-04-22 |
| 1124242235 | Maurice B Fields | Pediatrics | 18406 Roscoe Blvd, Northridge Family Practice Medical Group Inc, Northridge, CA 91325 | 2007-04-12 |
| 1316010648 | Frank F Peng | Pediatrics | 18251 Roscoe Blvd, Suite 104, Northridge, CA 91325 | 2006-11-16 |
| 1801991872 | Richard J Kang | Pediatrics | 18300 Roscoe Blvd, Picu Department, Northridge, CA 91325-4105 | 2006-09-14 |
| 1932112588 | Yolanda Reid Chassiakos | Pediatrics | 18111 Nordhoff St, Northridge, CA 91330-8270 | 2006-08-14 |
| 1669487435 | Farideh Farrohi | Pediatrics | 18546 Roscoe Blvd, 211, Northridge, CA 91324-4663 | 2006-07-30 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.