JENNIFER GOEDDEL MD NPI 1396362091

NPI Information

  • NPI: 1396362091
  • Provider Name: JENNIFER GOEDDEL, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1418 E MAIN ST STE 210
    SANTA MARIA, CA
    ZIP 93454
  • Phone: (805) 928-3678

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NPI Details

Jennifer Goeddel, MD is an obstetrics gynecology in Santa Maria, CA with 6 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jennifer Goeddel, MD NPI is 1396362091. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1418 E MAIN ST STE 210
SANTA MARIA, CA
ZIP 93454-836
Phone: (805) 928-3678
Fax: (805) 928-6408

The NPI 1396362091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 10/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology2020018851MISSOURINo
2207V00000XObstetrics & GynecologyA197105CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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