JOHN ETHAN GOODRICH MD
NPI 1124449442
Pediatrics in Sacramento, CA
About John Ethan Goodrich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ETHAN GOODRICH MD (NPI 1124449442) is an individual pediatrics provider in Sacramento, California, licensed in California (A149423) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Ethan Goodrich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Goodrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Valley Childrens Medical Group
- 387 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Goodrich's NPI number?
The NPI number for John Goodrich is 1124449442. It was assigned to this individual provider in the NPPES registry on January 6, 2014.
Where is John Goodrich located?
John Goodrich practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 816-0478.
What is John Goodrich's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Goodrich enrolled in Medicare?
Yes. John Goodrich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Goodrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Goodrich reassigns Medicare benefits to Valley Children's Medical Group (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Goodrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Goodrich accept?
Health plans from Select Health list John Goodrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Goodrich was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Ethan Goodrich, MD · NPI 1124449442
Pediatrics physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since January 6, 2014.
## Identity
- **NPI:** 1124449442 (Entity type: Individual)
- **Enumerated:** January 6, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A149423 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4610 X ST, Sacramento, CA 95817-2200
- **Phone:** (916) 816-0478
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Valley Children's Medical Group (NPI 1437555265, Modesto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124449442) · Data from the CMS NPPES public registry.