Pacific Golden Gate LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PACIFIC GOLDEN GATE LLC

Practice address

5421 Shadow Stone St
Bakersfield, CA 93313-4321

Phone

(661) 779-5613

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Baha Fadul

Title

Ceo

Phone

(661) 779-5613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1225800667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 SHADOW STONE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134321",
            "telephone_number": "661-779-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 SHADOW STONE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134321",
            "telephone_number": "661-779-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GOLDEN GATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "FADUL",
        "authorized_official_first_name": "BAHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-779-5613"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Health Education Center
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• Pacific Health Education Cognitive Center, Inc
• Pacific Health Education Cognitive Center, Inc

• Non-emergency Medical Transport (VAN) in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.