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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SAMUEL C GODWIN NP
NPI 1699305839
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since January 15, 2020PECOS Enrolled
10024 S VERMONT AVE, LOS ANGELES, CA 90044(213) 471-5026 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Mar 17, 2025, Jan 16, 2020 (3 updates tracked since 2020).

About Mr. Samuel C Godwin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL C GODWIN NP (NPI 1699305839) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95013690) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699305839
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SAMUEL C GODWINCredential: NP
Location Address10024 S VERMONT AVELos Angeles, CA 90044-3112
Mailing Address8801 S 8th AveInglewood, CA 90305-2429 · (323) 347-0008
Phone(213) 471-5026
Sole ProprietorNo
Enumeration DateJanuary 15, 2020
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1699305839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95013690✔ Licensed in NV · 877201
10024 S VERMONT AVE, Los Angeles, CA 90044
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel C Godwin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL CARE MEDICAL CLINIC INC
Legal Medicine
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 756-1412
TOTAL CARE MOBILE MEDICAL UNIT
Medical Genetics, Ph.D. Medical Genetics
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 756-1412
DR.ROMANENKO , INC, A PROFESSIONAL CORPORATION
Obstetrics & Gynecology
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 240-1938
PINK LOTUS HEALTH CARE CORP.
Obstetrics & Gynecology (Hospice and Palliative Medicine)
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 242-0139
CHEROKEE LYNETTE LAVALLEY NP
Nurse Practitioner (Women's Health)
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 242-0139
LIFEWAY HEALTHCARE SERVICES INC.
Internal Medicine
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 242-3888
K N SOLOMON MBAGWU MD INC. A PROFESSIONAL MEDICAL GROUP
Obstetrics & Gynecology
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 242-0139
IFEOMA SYLVIA ONYEAGORO
Nurse Practitioner (Psychiatric/Mental Health)
10024 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 756-1412

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 Samuel Godwin's NPI number?

The NPI number for Samuel Godwin is 1699305839. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Samuel Godwin located?

Samuel Godwin practices at 10024 S Vermont Ave, Los Angeles, CA 90044. The listed phone number is (213) 471-5026.

What is Samuel Godwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Godwin enrolled in Medicare?

Yes. Samuel Godwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Godwin was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.