THOMAS M GOODWIN (NPI# 1770588899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770588899 |
| Entity Type | Individual |
| Full Name | THOMAS M GOODWIN |
| Credential | M.D. |
| Practice Address |
1400 S Grand Ave Ste 805 Los Angeles CA 90015-3011 |
| Mailing Address |
1640 Marengo St Ste 505 Los Angeles CA 90033-1038 |
| Practice Telephone | 2137631500 |
| Practice Fax Number | 2137631505 |
| Mailing Telephone | 3232213270 |
| Mailing Fax Number | 3232256284 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
G65953 | CA | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
G65953 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G659530 | 01 |
| CA | 00G659530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568481448 | Thomas A Goodwin | Family Medicine | 8088 Vineyard Drive, Kalamazoo, MI 49009 | 2006-07-19 |
| 1952357949 | Thomas C Goodwin | Psychiatry & Neurology | 90 Southside Avenue, Suite 300, Asheville, NC 28801-4100 | 2006-05-25 |
| 1083279236 | Thomas Jackson Goodwin | Physician Assistant | 404 Woodland Dr, Elizabethtown, NC 28337-8842 | 2019-05-03 |
| 1750628939 | Thomas Wayne Goodwin | Psychologist | 315 E Queen St, Pendleton, SC 29670-1721 | 2013-01-09 |
| 1821196692 | Thomas Goodwin | Chiropractor | 1018 Broad St, Summersville, WV 26651-1711 | 2006-09-20 |
| 1649208851 | Thomas Earl Goodwin | Orthopaedic Surgery | 8854 W Emerald St, Suite 102, Boise, ID 83704-4844 | 2006-06-28 |
| Street Address |
1400 S GRAND AVE STE 805 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678013 | Alice M Stek | Obstetrics & Gynecology | 1400 S Grand Ave, Ste 805, Los Angeles, CA 90015-3011 | 2005-06-13 |
| 1912481334 | Shahrzad Mokhtare | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-21 |
| 1821572249 | Jordan Cruz Rivera | Psychiatry & Neurology | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-21 |
| 1407330962 | Angelina Nieto-rodriguez | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1942784491 | Rena Muni | Family Medicine | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1295219756 | Sandra Morcos | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1922582485 | Daniel Raine | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1083198550 | Elizabeth Grigoryan | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1104329606 | Andrea Castro | Case Manager/Care Coordinator | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-03-12 |
| 1639608433 | Michelle Yim | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801236401 | Ilina Datkhaeva Pluym | Obstetrics & Gynecology | 200 Medical Plaza Dr, Los Angeles, CA 90095-2401 | 2013-06-27 |
| 1750660098 | Shravya Govindappagari | Obstetrics & Gynecology | 11210 Sardis Ave Apt 303, Los Angeles, CA 90064-4189 | 2011-08-04 |
| 1336466804 | Kristen Rose Uquillas | Obstetrics & Gynecology | 1400 S Grand Ave Ste 805, Los Angeles, CA 90015-3068 | 2010-04-23 |
| 1588759062 | Janet Margaret Horenstein | Obstetrics & Gynecology | 1400 S. Grand Avenue, Suite 711, Los Angeles, CA 90015 | 2006-10-03 |
| 1679542252 | Richard M Benoit | Obstetrics & Gynecology | 321 N Larchmont Blvd, Suite 525, Los Angeles, CA 90004-3025 | 2006-03-16 |
| 1942283403 | Neil Silverman | Obstetrics & Gynecology | 6310 San Vicente Blvd Ste 520, Los Angeles, CA 90048-5421 | 2005-11-29 |
| 1104185081 | Masaru Negi | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 430, Los Angeles, CA 90095 | 2012-05-11 |
| 1447519541 | Andrew H Chon | Obstetrics & Gynecology | 1400 S Grand Ave Ste 805, Los Angeles, CA 90015-3068 | 2012-05-09 |
| 1134488620 | Carolynn Dude | Obstetrics & Gynecology | 757 Westwood Plz, Room B711, Los Angeles, CA 90095-7419 | 2012-05-03 |
| 1134485741 | Elizabeth Blake Sasso | Obstetrics & Gynecology | 1400 S Grand Ave Ste 805, Los Angeles, CA 90015-3068 | 2012-04-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
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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.