Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174558407 Individual Practitioner Male Practitioner

Dr. Michael P Goodman , MD

Specialist • Davis, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Goodman, MD is a registered healthcare professional specializing in Specialist in Davis, CA. Practice services are available at 635 ANDERSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

635 Anderson Rd
Suite 12b

Davis, CA 956163505

Telephone 5307532787
Fax 5307500221
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Davis, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA C31721

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1013028976

Doctor of Medicine (M.D.)

NPI 1013143718

Doctor of Medicine (M.D.)

Dr. Benton Runquist , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1063598167

Doctor of Dental Surgery, Master of Science

NPI 1194258293

Doctor of Chiropractic

NPI 1205822947

Doctor of Medicine (M.D.)

NPI 1235135427

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2008

Registered at 635 ANDERSON RD, SUITE 12B, DAVIS, CA 956163505 (Tel: 5307532787)

📍
Updated Business Mailing Address July 28, 2008

Registered at 635 ANDERSON RD, SUITE 12B, DAVIS, CA 956163505 (Tel: 5307532787)

👤
Provider Name / Credentials Updated July 28, 2008

Recorded as MICHAEL GOODMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2008

Specialist (License #C31721 in CA)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174558407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: July 28, 2008
Sole Proprietor: Yes

Mailing Address

635 Anderson Rd, Suite 12b

Davis, CA 956163505

Phone: 5307532787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.