NPIMap

Organization Active NPI

Golden Gate Urology Inc

  • Non-Pharmacy Dispensing Site
  • Berkeley, CA
National Provider Identifier
1326585449
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A71078 Issued in CA
Legal business name
GOLDEN GATE UROLOGY INC
Practice address
2999 Regent St
Suite 612 & 626
Berkeley, CA 94705-2190
Phone
(510) 495-3332
Fax
(510) 848-8224
NPI assigned
Jan 26, 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 A71078 CA Primary

Addresses

Primary practice location

2999 Regent St
Suite 612 & 626
Berkeley, CA 94705-2190

Mailing address

2999 Regent St
Suite 612
Berkeley, CA 94705-2190
Phone (510) 495-3332

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": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1326585449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-495-3332",
            "fax_number": "510-848-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 612 & 626",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-495-3332",
            "fax_number": "510-848-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "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": "CA",
            "license": "A71078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, 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.