Provider Resources Group, Inc.
NPI 1396086526ActiveOrganization· General Practice· Redwood City, CA
General Practice in Redwood City, California, registered in NPPES in March 2013. The authorized official on file is David Edward Goodman, M.D., President.
Overview
| NPI | 1396086526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2013 |
| Last updated in NPPES | Mar 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | G80213 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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