NPIMap

Organization Active NPI

Golden Gate Urology, Inc.

  • Non-Pharmacy Dispensing Site
  • San Francisco, CA
National Provider Identifier
1174032353
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GOLDEN GATE UROLOGY, INC.
Practice address
139 Townsend St Ste 100
San Francisco, CA 94107-1946
Phone
(415) 541-0800
Fax
(415) 543-2811
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Sara Betancourt
Title
VP, Finance and Administration
Phone
(415) 543-2812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

139 Townsend St Ste 100
San Francisco, CA 94107-1946

Mailing address

139 Townsend St Ste 100
San Francisco, CA 94107-1946
Phone (415) 541-0800

National Provider Directory

National Provider Directory
Tax ID family
Golden Gate Urology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1174032353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 TOWNSEND ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071946",
            "telephone_number": "415-541-0800",
            "fax_number": "415-543-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 TOWNSEND ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071946",
            "telephone_number": "415-541-0800",
            "fax_number": "415-543-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE UROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "VP, FINANCE AND ADMINISTRATION",
        "authorized_official_telephone_number": "415-543-2812"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.