Susan L. Goddard is a Pediatrics in Oakland, California. Susan L. Goddard practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan L. Goddard is 1619055209. The last update date is 2021-12-13.
Susan L. Goddard's current location address is 275 W Macarthur Blvd, Oakland, California. You can contact this provider via phone number 5107521000. The mailing address for Susan L. Goddard is 275 W Macarthur Blvd, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L. Goddard |
|---|---|
| Address | 275 W Macarthur Blvd, Oakland, California |
| Phone Number | 5107521000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619055209 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 275 W Macarthur Blvd |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946115641 |
| Phone Number | 5107521000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A86992 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A869920 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan L. Goddard by the Centers for Medicare & Medicaid Services?
The Susan L. Goddard has been assigned the NPI (National Provider Identifier) 1619055209. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan L. Goddard?
The Susan L. Goddard is situated at 275 W Macarthur Blvd, in the city of Oakland, state of CA, with the zip code 946115641.
What is Susan L. Goddard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan L. Goddard is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619055209 to Susan L. Goddard?
The Centers for Medicare & Medicaid Services originally issued the 1619055209 to Susan L. Goddard on 2006-11-01.
As of what date was the information regarding Susan L. Goddard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan L. Goddard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-13.