OrganizationActive
Mark Godiksen
NPI 1760725758 · Non-Pharmacy Dispensing Site · Clovis, CA
Mark Godiksen is a Non-Pharmacy Dispensing Site organization in Clovis, CA (NPI 1760725758).
Provider details
- NPI number
- 1760725758
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- A43850 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
688 Medical Center Dr E
Suite 106
Clovis, CA 93611-6807
Phone: (559) 297-8604
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Office of Mark V. Godiksen
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2013-03-28
Frequently asked questions
- What is Mark Godiksen's NPI number?
- Mark Godiksen's National Provider Identifier (NPI) is 1760725758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark Godiksen?
- Mark Godiksen is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Mark Godiksen located?
- Mark Godiksen's practice location on file with NPPES is 688 Medical Center Dr E, Clovis, CA 93611-6807.
- What is Mark Godiksen's phone number?
- The practice phone number listed in the NPPES registry for Mark Godiksen is (559) 297-8604.
- Who is the authorized official for Mark Godiksen?
- The authorized official listed on Mark Godiksen's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark Godiksen's NPI active?
- Yes — Mark Godiksen's NPI (1760725758) is active in the NPPES registry as of the last update on 2013-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.