Organization Active NPI

Golden Facilities and Services

  • Assisted Living Facility
  • San Jose, CA
National Provider Identifier
1073262283
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN FACILITIES AND SERVICES
Practice address
3884 Wiven Place Way
San Jose, CA 95121-1958
Phone
(408) 440-4725
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Fely Pascua Mabutas
Title
Owner
Phone
(408) 912-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3884 Wiven Place Way
San Jose, CA 95121-1958

Mailing address

3884 Wiven Place Way
San Jose, CA 95121-1958
Phone (408) 912-4504

Other identifiers 1

IdentifierTypeStateIssuer
C2067050OtherCADRIVER LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1073262283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 WIVEN PLACE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211958",
            "telephone_number": "408-912-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 WIVEN PLACE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211958",
            "telephone_number": "408-440-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN FACILITIES AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MABUTAS",
        "authorized_official_first_name": "FELY",
        "authorized_official_middle_name": "PASCUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-912-4504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "C2067050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.