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

Scott Kelly Goddard, OMS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649705484

Scott Kelly Goddard, OMS is an Emergency Medicine in Fresno, California. Graduated from Western University of Health Sciences College of Dental Med in 2019, 7 years ago. Practices with Brown Calvanese Cameron Ltd, a 42-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
7
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CA, OR
In the registry since
2017
Specialties on file
2

Practice location Address checks out

155 N Fresno St
Fresno, CA 93701-2302
Phone: (559) 499-6440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A20290 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)

Record details

NPI number1649705484
Entity typeIndividual (Type 1)
GenderMale
Credentials OMS
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2019 (7 years in practice)
Group practice Brown Calvanese Cameron Ltd — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fresno