NPIMap

Organization Active NPI

PC Medical Clinic Inc

  • General Practice Physician
  • Santa Clarita, CA
National Provider Identifier
1093814113
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PC MEDICAL CLINIC INC
Practice address
27141 Hidaway Ave Ste 204
Santa Clarita, CA 91351-4147
Phone
(661) 397-1177
Fax
(661) 397-6175
NPI assigned
Sep 22, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Marina Gold, MD
Title
Owner
Phone
(661) 293-1177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

27141 Hidaway Ave Ste 204
Santa Clarita, CA 91351-4147

Mailing address

27141 Hidaway Ave Ste 204
Santa Clarita, CA 91351-4147
Phone (661) 397-1177

Other practice location 1

1601 W Avenue J
Lancaster, CA 93534-2824
Phone (661) 945-2716

Other names 1

  • Marina Gold MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000296 CA Part B Supplier - Clinic/Group Practice 6305839101 Receives reassigned benefits from 2 practitioners
Practice locations: Bakersfield, CA; Lancaster, CA; Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

1523 W Avenue J
Ste 7
Lancaster, CA 93534
Phone (661) 945-2221

1601 W Avenue J
Lancaster, CA 93534
Phone (661) 945-1835

26781 Bouquet Canyon Rd
Santa Clarita, CA 91350
Phone (661) 296-5566

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1093814113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 204",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514147",
            "telephone_number": "661-397-1177",
            "fax_number": "661-367-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 204",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514147",
            "telephone_number": "661-397-1177",
            "fax_number": "661-397-6175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Avenue J",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342824",
            "country_code": "US",
            "telephone_number": "661-945-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PC MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-293-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Gold MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.