Goldome Healthcare Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A82411 Issued in CA

Legal business name

GOLDOME HEALTHCARE INC.

Practice address

3191 W Temple Ave Ste 190
Pomona, CA 91768-3228

Phone

(909) 895-3299

Fax

(909) 895-4801

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

David T Chen, M.D.NPI 1891719852

Title

President

Phone

(951) 334-1939

Specialties & licenses 1

Addresses

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.

CLIA laboratory certificates

Locations

Practitioners 5

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

• David T Chen, MD

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1891719852
  Medicare reassignment NPD Authorized official
• Lisa Huang, NP

  • Adult Health Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1629634852
  Medicare reassignment NPD
• Crystal Huong

  • Family Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1992376636
  Medicare reassignment NPD
• Katherine Ko, NP

  • Family Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1679038103
  NPD (past)
• Shuyan Liu, NP

  • Family Nurse Practitioner
  • Glendora, CA
  • NPI 1427624576
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1295154672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 W TEMPLE AVE STE 190",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683228",
            "telephone_number": "909-895-3299",
            "fax_number": "909-895-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 W TEMPLE AVE STE 190",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683228",
            "telephone_number": "909-895-3299",
            "fax_number": "909-895-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-334-1939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A82411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizeth Godoy
• Jonathan Goei
• Victoria Gogo
• Roxanne Mahrook Golchini, RADT
• Gerald Donald Goldman, MD
• Bernie Robert Goler, M.D.
• Chloe Golik
• Narsis Golkarieh, MD
• Jesus Gomar
• Lesdic Gomez Flores

• Primary Care Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.