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OFFICE OF MARK V. GODIKSEN
NPI 1760725758
Non-Pharmacy Dispensing Site in Clovis, CA

Active since March 28, 2013
688 MEDICAL CENTER DR E, SUITE 106, CLOVIS, CA 93611(559) 297-8604 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Office Of Mark V. Godiksen NPPES

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

OFFICE OF MARK V. GODIKSEN (NPI 1760725758) is a healthcare organization registered as a non-pharmacy dispensing site in Clovis, California and active in the NPI registry since March 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1760725758
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMARK GODIKSEN
Location Address688 MEDICAL CENTER DR E, SUITE 106Clovis, CA 93611-6807
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(559) 297-8604
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMarch 28, 2013
✔ NPI 1760725758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · A43850
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
688 MEDICAL CENTER DR E, Clovis, CA 93611
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Other Names 1

Doing Business AsOffice Of Mark V. Godiksen

Other Providers at the Same Location NPPES 4

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

MARK V GODIKSEN M.D.
Internal Medicine
688 MEDICAL CENTER DR E, SUITE 106
CLOVIS, CA 93611
Fresno County (559) 297-8604
DR. DAVID FRANCIS CAREY M.D.
Family Medicine
688 MEDICAL CENTER DR E
CLOVIS, CA 93611
Fresno County (559) 299-2200
ROBERT K GRAZIER MD INC
General Practice
688 MEDICAL CENTER DR E
CLOVIS, CA 93611
Fresno County (559) 284-3133
ALLEN O CLYDE D.P.M.
Podiatrist (Foot & Ankle Surgery)
688 MEDICAL CENTER DR E, SUITE 106
CLOVIS, CA 93611
Fresno County (559) 297-8604

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 Mark Godiksen's NPI number?

The NPI number for Mark Godiksen is 1760725758. It was assigned to this organization in the NPPES registry on March 28, 2013. The provider is doing business as Office Of Mark V. Godiksen.

Where is Mark Godiksen located?

Mark Godiksen is located at 688 Medical Center Dr E Suite 106, Clovis, CA 93611. The listed phone number is (559) 297-8604.

What is Mark Godiksen's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Mark Godiksen was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.