Golden State Sports Injury and Orthopedic Medical Associates, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.

Practice address

18531 Roscoe Blvd Ste 202
Northridge, CA 91324-5950

Phone

(818) 998-8400

NPI assigned

Aug 27, 2010

Organization subpart

Yes

Parent organization

GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Ronald Perelman, M.D.NPI 1548320450

Title

Owner

Phone

(818) 998-8400

Specialties & licenses 1

Addresses

Part of

Golden State Sports Injury and Orthopedic Medical Associates Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Golden State Sports Injury and Orthopedic Medical Associates, Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Northridge, CA
  • NPI 1770643645
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald B Perelman, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Northridge, CA
  • NPI 1548320450
  NPD (past) Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1124334107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245950",
            "telephone_number": "818-998-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN STATE SPORTS INJURY AND ORTHOPEDIC MEDICAL ASSOCIATES, INC.",
        "enumeration_date": "2010-08-27",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "PERELMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-998-8400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Rodriguez Godinez, D.P.T
• Rae Godwin, DO
• Golden Age Home Healthcare Inc.
• Golden Eagle Home Health
• Golden Road Home Health Agency Inc
• Golden State Sports Injury and Orthopedic Medical Associates, Inc.
• Goldstein Chiropractic Inc
• Goldstein Chiropractic Inc
• Mitchell Reid Goldstein, M.D.
• Erika Gomez Barcenas

• Non-Pharmacy Dispensing Site in Northridge, CA
• Providers in Northridge, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.