DR. DANIEL FREMONT GOODWIN (NPI# 1407972821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407972821 |
| Entity Type | Individual |
| Full Name | DR. DANIEL FREMONT GOODWIN |
| Credential | MD |
| Practice Address |
1510 S Central Ave Suite 420 Glendale CA 91204-2500 |
| Practice Telephone | 8182428816 |
| Practice Fax Number | 8182420610 |
| Mailing Telephone | 8182428816 |
| Mailing Fax Number | 8182420610 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A85849 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SCCC NPI | 1760619856 | 01 |
| CA | SCCC MEDICARE PTAN | W12148 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245407576 | Daniel C Goodwin | Internal Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2008-05-15 |
| 1366426223 | Daniel Will Goodwin | Family Medicine | 318 E Main St, Central Lakes Medical Clinic Pa, Crosby, MN 56441-1691 | 2005-12-05 |
| Street Address |
1510 S CENTRAL AVE SUITE 420 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020136 | Richard W Suda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1510 S Central Ave, Suite 530, Glendale, CA 91204-2500 | 2005-08-10 |
| 1912381294 | Kyrillos Medical Group,inc | Specialist | 1510 S Central Ave, Suite 250, Glendale, CA 91204-2500 | 2015-07-16 |
| 1942699236 | Major Medical Management, Inc. | Clinic/Center | 1510 S Central Ave, Ste 120, Glendale, CA 91204-2500 | 2015-01-09 |
| 1124449384 | Mardi H. Mihranian | Specialist | 1510 S Central Ave, Suite 100, Glendale, CA 91204-2500 | 2013-12-13 |
| 1922429182 | Susan L. Chobanian, M.d. | Specialist | 1510 S Central Ave, Suite 100, Glendale, CA 91204-2500 | 2013-12-13 |
| 1861834178 | Ivan Brando Teves Aguilera | Podiatrist | 1510 S Central Ave, Ste 120, Glendale, CA 91204-2576 | 2013-07-28 |
| 1205176690 | Global Research Management, Inc | Specialist | 1510 S Central Ave, Suite 300, Glendale, CA 91204-2500 | 2013-02-21 |
| 1013206945 | Yen Tun Wang | Dermatology | 1510 S Central Ave, Suite 470, Glendale, CA 91204-2500 | 2011-03-31 |
| 1902105059 | Amandeep Kaur Randhawa | Podiatrist | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2500 | 2011-03-15 |
| 1952543886 | Nathan Malcolm Miller | Chiropractor | 1510 S Central Ave, Suite 120, Glendale, CA 91204-2500 | 2009-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1962967059 | Adventist Health Physicians Network | Internal Medicine | 1808 Verdugo Blvd Ste 414, Glendale, CA 91208-1474 | 2019-02-04 |
| 1972030427 | Advanced Medical & Surgical Ventures, Inc. | Internal Medicine | 217 S Glendale Ave, Glendale, CA 91205-1713 | 2017-05-15 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| 1336411503 | Santo Salvatore Polito | Internal Medicine | 3255 Beaudry Ter, Glendale, CA 91208-1700 | 2012-02-03 |
| 1457504029 | Daniel Aram Daneshvar | Internal Medicine | 1510 S Central Ave Ste 150, Glendale, CA 91204-2541 | 2008-10-28 |
| 1760678049 | Jigar Anilkumar Patel | Internal Medicine | 18700 N 64th Dr Ste 101, Glendale, AZ 85308-7110 | 2007-09-19 |
| 1003009861 | Moustafa Banna | Internal Medicine | 5859 W. Talavi Blvd, Suite 100, Glendale, AZ 85306-1869 | 2007-08-23 |
| 1629270731 | Dipak Jana | Internal Medicine | 5422 W Thunderbird Rd Ste 8, Glendale, AZ 85306-4717 | 2007-06-01 |
| 1316156797 | Hossein Dehghani | Internal Medicine | 1560 E Chevy Chase Dr Ste 445, Glendale, CA 91206-4154 | 2007-05-22 |
| 1265644140 | Anthony B Alvaro | Internal Medicine | 1134 Orange Grove Ave, Glendale, CA 91205-1334 | 2007-05-04 |
| Find all providers in GLENDALE | ||||
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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.