Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720326176 Deactivated / Inactive NPI Male Practitioner

Dr. Bernard Goodhead , MD

General Practice • La Jolla, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bernard Goodhead has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2013
NPI Deactivation Date July 21, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Bernard Goodhead, MD was a registered General Practice practicing in La Jolla, CA. Throughout an active medical career spanning 9 years, Dr. Goodhead provided care at the practice location at 1395 PARK ROW until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

1395 Park Row

La Jolla, CA 920373708

Telephone 8584543636

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in La Jolla, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
25 Specialists

Practicing in La Jolla, CA (2300 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A24953

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active January 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 18, 2013

Registered at 1395 PARK ROW, LA JOLLA, CA 920373708 (Tel: 8584543636)

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Updated Business Mailing Address January 18, 2013

Registered at 1395 PARK ROW, LA JOLLA, CA 920373708 (Tel: 8584543636)

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Provider Name / Credentials Updated January 18, 2013

Recorded as BERNARD GOODHEAD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2013

General Practice (License #A24953 in CA)

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Initial NPI Registration & Enumeration January 18, 2013

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: 1720326176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2013
Last Update: January 18, 2013
Deactivation Date: July 21, 2022

Mailing Address

1395 Park Row

La Jolla, CA 920373708

Phone: 8584543636

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

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