DR. CHARLES FREDRICK GOODMAN (NPI# 1396016465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396016465 |
| Entity Type | Individual |
| Full Name | DR. CHARLES FREDRICK GOODMAN |
| Credential | M.D. |
| Practice Address |
15256 Bellecourt Saratoga CA 95070-6407 |
| Practice Telephone | 4083950818 |
| Practice Fax Number | 8013158383 |
| Mailing Telephone | 4083950818 |
| Mailing Fax Number | 8013158383 |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2012-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G27751 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336163807 | Charles David Goodman | Pediatrics | 18350 Roscoe Blvd Ste 706, Northridge, CA 91325-5602 | 2006-07-27 |
| 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 |
15256 BELLECOURT |
| City | SARATOGA |
| State | CA |
| Zip Code | 95070-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326504366 | Cherissa W Chong, Dmd, Ms, Inc | Dentist | 12280 Saratoga Sunnyvale, Suite 101, Saratoga, CA 95070 | 2019-02-14 |
| 1306218052 | Louis Clement Zanger | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13313 Via Madronas Dr., Saratoga, CA 95070 | 2015-10-21 |
| 1598187502 | Ali Tayaran | Dental Hygienist | 1480 Saratoga Ave, Saratoga, CA 95070 | 2014-01-09 |
| 1174954721 | Saratoga Senior Coordinating Council | Clinic/Center | 19655 Allendale Ave, Saratoga, CA 95070 | 2013-12-09 |
| 1851637227 | Dzogchen Healing Center | Chiropractor | 12948 Village Dr., Suite C, Saratoga, CA 95070 | 2012-12-12 |
| 1235499435 | Jennifer Liu | Dietitian, Registered | 19666 Ascension Dr., Saratoga, CA 95070 | 2012-05-22 |
| 1407159254 | Zhisheng Sun | Acupuncturist | 12175 Saratoga Sunnyvale Rd., Suite A, Saratoga, CA 95070 | 2010-12-17 |
| 1588980163 | Jovita Carpio | Anesthesiology | 18927 Sara Park Circle, Saratoga, CA 95070 | 2010-04-08 |
| 1790017184 | Janet Woody Cucciare | Speech-Language Pathologist | 20400 Saratoga Los Gatos, Saratoga, CA 95070 | 2010-02-10 |
| 1568699676 | Gregory L. Belcher, M.d., Inc | Family Medicine | 18805 Cox Avenue, #110, Saratoga, CA 95070 | 2009-06-16 |
| Find all providers in zip 95070 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245364397 | Sheri L. Bortz | General Practice | 12224 Saratoga Sunnyvale Rd, Saratoga, CA 95070-3047 | 2007-03-14 |
| 1932484987 | David G Wetterholt | General Practice | 12224 Saratoga Sunnyvale Rd, Saratoga, CA 95070-3047 | 2011-10-20 |
| 1285896373 | Mike Nichols | General Practice | 14583 Big Basin Way, #2b, Saratoga, CA 95070-6072 | 2008-06-30 |
| 1336334721 | Ac Medical | General Practice | 1848 Saratoga Ave, Bldg2 Ste5, Saratoga, CA 95070-6612 | 2007-09-10 |
| 1629020474 | Anthony C. Wong | General Practice | 1848 Saratoga Ave, Bldg. 2, Saratoga, CA 95070-6612 | 2006-05-17 |
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|---|---|---|---|---|
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| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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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.