Karen M Goodwin, D.O.

Surgery in Berkeley, CA. Individual provider (NPI-1).

NPI number1497902308

StatusActive

Last updated in NPPESFeb 25, 2020

Details

NPI: 1497902308
Entity type: Individual (NPI-1)
Name: Karen M Goodwin
Credential: D.O.
Sex: Female
Sole proprietor: No
Enumeration date: Aug 21, 2008
Certification date: Feb 25, 2020
Last updated: Feb 25, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	20A13431	CA	Yes

Practice location

3100 San Pablo Ave Ste 430
Berkeley, CA 94702-2498

Phone 415-476-3366 · Fax 510-985-5202

Mailing address

3100 San Pablo Ave Ste 430
Berkeley, CA 94702-2498

Phone 415-476-3366 · Fax 510-985-5202

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Berkeley, CA

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