Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer M Goeddel, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1396362091

Jennifer M Goeddel, MD is an Obstetrics/Gynecology in Santa Maria, California. Qualified in 2020, 6 years ago. Practices with Community Health Centers of the Central Coast Inc, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Illinois and Missouri.

Years since qualifying
6
Licensed in
CA, IL, MO
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1418 E Main St Ste 210
Santa Maria, CA 93454-4836
Phone: (805) 928-3678
Fax: (805) 928-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 N Westmoreland Rd Ste 112, Lake Forest, IL 60045-1680 — (847) 535-7057

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A197105 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 036179981 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2020018851 (MO)

Record details

NPI number1396362091
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2020
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address2050 S Blosser Rd, Santa Maria, CA 93458-7310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Centers Of The Central Coast Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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