DWIGHT J. GODDARD, M.D., INC. (NPI# 1518583004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518583004 |
| Entity Type | Organization |
| Organization Name | DWIGHT J. GODDARD, M.D., INC. |
| Practice Address |
1382 E Foothill Blvd Upland CA 91786-4014 |
| Practice Telephone | 9099494705 |
| Practice Fax Number | 9099494517 |
| Mailing Telephone | 9099494705 |
| Mailing Fax Number | 9099494517 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | SYLVIA SALSBERRY (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9097037010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1382 E FOOTHILL BLVD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715193 | Byung Don Ahn | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2005-10-21 |
| 1043835887 | Our Family Medical Group, Inc. | Family Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2020-06-08 |
| 1679063945 | William A. Sia | Nurse Practitioner | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2018-05-13 |
| 1992245047 | Prohealth Partners A Medical Group Inc | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2017-03-07 |
| 1700230224 | Ani Berberyan | Family Medicine | 1382 E Foothill Blvd, Upland, CA 91786 | 2016-04-21 |
| 1780959742 | Rushmi Reehal | Physician Assistant | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2012-03-09 |
| 1275817736 | Inland Cardiology Heart Failure Clinic | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2011-10-03 |
| 1669519500 | Padmini Priya Tummala | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2007-01-31 |
| 1942366992 | B Don Ahn Md Inc | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1508304544 | Romeo Samouh Md Inc | Family Medicine | 811 E 11th St Ste 102, Upland, CA 91786-4872 | 2017-02-10 |
| 1396064390 | Khin T Htun | Family Medicine | 600 N 13th Ave Ste 150, Upland, CA 91786 | 2010-05-31 |
| 1720304207 | Nader Sawiris | Family Medicine | 367 N 2nd Ave, Upland, CA 91786-6006 | 2010-04-09 |
| 1669677365 | Syed Muhammad Hammad Rizvi | Family Medicine | 901 San Bernardino Rd Ste 104, Upland, CA 91786-4993 | 2007-06-20 |
| 1063613578 | Sandar Win | Family Medicine | 811 E 11th St Ste 205, Upland, CA 91786-4872 | 2007-05-30 |
| 1902959075 | Clinica Guadalupana De Ontario Med Grp | Family Medicine | 308 N 2nd Ave, Upland, CA 91786-8325 | 2007-01-19 |
| 1508920489 | Robert West Md Inc | Family Medicine | 600 N 13th St Ste 150, Upland, CA 91786-4905 | 2006-12-21 |
| 1093883886 | Asha Nayak Ubhayakar | Family Medicine | 1157 West 22nd Street, Upland, CA 91784 | 2006-12-01 |
| 1174693659 | Irene Kae Enzensperger | Family Medicine | 1060 E Foothill Blvd Ste 202, Upland, CA 91786-4017 | 2006-11-09 |
| Find all providers in UPLAND | ||||
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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.