DR. RANDALL M. GOETHALS (NPI# 1316920713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316920713 |
| Entity Type | Individual |
| Full Name | DR. RANDALL M. GOETHALS |
| Credential | M.D. |
| Practice Address |
10535 Hospital Way Mather CA 95655-4200 |
| Mailing Address |
4896 Kipling Dr Carmichael CA 95608-6274 |
| Practice Telephone | 9163665366 |
| Mailing Telephone | 9164823418 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
G29134 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10535 HOSPITAL WAY |
| City | MATHER |
| State | CA |
| Zip Code | 95655-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251681 | Harold A Burger | Internal Medicine | 10535 Hospital Way, Mather Va Hospital, Mather, CA 95655 | 2005-08-10 |
| 1174123483 | Daniel Porter | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-27 |
| 1306443379 | Brandon Flaig | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-02 |
| 1568076883 | Heather A Tucker-bjorum | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-09-03 |
| 1457961260 | Sunny Renee Burdick | Audiologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-08-06 |
| 1508475096 | Duyen Thien Doan | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-30 |
| 1568071181 | Alice Chen | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-29 |
| 1659980753 | Christie Carole Mead | Psychologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-24 |
| 1124646393 | Ann Marie Bowring | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-13 |
| 1558984781 | Sonja Careaga Espinosa | Social Worker | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624489 | Sacramento County Office of Education | Clinic/Center | Sacramento County Office of Education/david P. Meaney, 10474 Mather Boulevard, Conference Room A, Mather, CA 95655 | 2019-11-18 |
| 1528539194 | Diana Florina Mccarthy | Pharmacist | 11009 Brattleboro Cir, Mather, CA 95655 | 2018-12-07 |
| 1336235811 | Ian Chan | Internal Medicine | 10565 Hospital Way, Bldg 647, Cardiology Department, Mather, CA 95655 | 2006-10-04 |
| 1790759066 | Tin Zar Shain | Psychiatry & Neurology | 10633 Grissom Avenue, Mather, CA 95655 | 2006-02-14 |
| 1174594659 | Leslie K Eaton | Psychiatry & Neurology | 16033 Grissom Ave, Mather, CA 95655 | 2006-01-31 |
| 1306496799 | Connie Q Sou | Pharmacist | 10535 Hospital Way # 119, Mather, CA 95655 | 2019-09-17 |
| 1356901490 | Sacramento County Office of Education | Local Education Agency (LEA) | 10474 Mather Blvd, Mather, CA 95655 | 2019-06-20 |
| 1619946449 | Melinda Jane Keenan | Psychologist | 10633 Grissom Ave, Mather, CA 95655 | 2006-03-15 |
| 1467438952 | Scott Alfred Hundahl | Surgery | Sacramento Va Medical Center - Chief of Surgery, 10535 Hospital Way, Smat-112, Mather, CA 95655-1200 | 2005-12-16 |
| 1932171519 | Nipavan Chiamvimonvat | Specialist | Va Medical Center, 10535 Hospital Way, Mather, CA 95655-1200 | 2006-02-07 |
| Find all providers in zip 95655 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497731806 | John Haile Peters | Internal Medicine | 10535 Hospital Way, Sacramento Va Medical Center, Mather, CA 95655 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
| 1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
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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.