Golden State Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOLDEN STATE MEDICAL INC

Practice address

200 Linden Ave
100
Auburn, CA 95603-5280

Phone

(800) 696-2900

Fax

(530) 885-3631

NPI assigned

Aug 22, 2005

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Graves

Title

Ceo

Phone

(800) 696-2900

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Anchor Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Sacramento, CA
  • NPI 1962601302

  Member Of

  NPD member
• Anchor Orthotics and Prosthetics, Inc.

  dba Anchor Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Stockton, CA
  • NPI 1306350285

  Member Of

  NPD member
• Anchor Orthotics and Prosthetics, Inc.

  dba Anchor Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Redwood City, CA
  • NPI 1881100584

  Member Of

  NPD member
• Tenspede Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Auburn, CA
  • NPI 1073505400

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1194717520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956040300",
            "telephone_number": "800-696-2900",
            "fax_number": "530-885-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINDEN AVE",
            "address_2": "100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035280",
            "telephone_number": "800-696-2900",
            "fax_number": "530-885-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-696-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CO2725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01705F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle Gold, LCSW
• Beth Goncalves, ASW
• Gonstead Family Chiropractic LLC (Gonstead Chiropractric at the sound)
• Jessica Gonzalez
• Venessa Elizabeth Goodman, ASW
• Lisa Goodstein, L.AC

• Durable Medical Equipment & Medical Supplies in Auburn, CA
• Providers in Auburn, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.