Look up the most recent NPI and PECOS records

Donald Terrence Godbold

Emergency Medicine

Allopathic & Osteopathic Physicians

3916 State St, Emergency Department, Santa Barbara, CA 93105-5602

PECOS Enrollment

This provider is enrolled in PECOS as DONALD GODBOLD.

Based on the most recent information from CMS, provider Donald Terrence Godbold is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1871556746
Provider Type
Individual
Full Name
Godbold, Donald Terrence
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/10/2006
Last Updated
11/19/2013

Contact Information

Practice Location

3916 State St, Emergency Department, Santa Barbara, CA 93105-5602

(800) 563-3000

Unlisted Fax

Mailing Location

1883 Gibbs Ave, Atwater, CA 95301-8469

(209) 358-3701

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A51364 California

Provider Identifiers

ID	Description	Issuer
ID 00A513640	Description Medicaid	Issuer Unlisted California

Donald Terrence Godbold

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kim, Sylvia H

Hauser, Mark G

Skrupky, Ryan A

Moharir, Vikrant

Strumpf, David M.

Vu, Christopher Son

Beato, David K

Yao, Steven K

Salvucci, Angelo A

Ruben, Jason B