Gold Care Golden State Medical

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GOLD CARE GOLDEN STATE MEDICAL

Practice address

800 S Central Ave Ste 302
Glendale, CA 91204-4388

Phone

(818) 332-2233

Fax

(818) 484-5422

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Bernard McNamara, MDNPI 1255351573

Title

Ceo

Phone

(818) 244-5444

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Bernard T McNamara, MD

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1255351573

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Marina Gold, MD

  • General Practice Physician
  • Glendale, CA
  • NPI 1770653974
  Medicare reassignment Care Compare group NPD
• Mary Kavukchyan, FNP-C

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1275339947

  Single Specialty

  Medicare reassignment NPD
• Karapet Mirakyan

  • Family Nurse Practitioner
  • North Hills, CA
  • NPI 1194318014
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1356929558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388",
            "telephone_number": "818-332-2233",
            "fax_number": "818-484-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 302",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388",
            "telephone_number": "818-332-2233",
            "fax_number": "818-484-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CARE GOLDEN STATE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-244-5444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gods Way Home Health Care Inc
• Nino Goduadze, NONE
• Ingrid Goelst, MM, MT-BC, NICU-MT
• Arusha B Gohil, D.D.S.
• Gohl & Kim Chiropractic, Inc
• Gold Ribbon Hospice, Inc.
• Gold Star Home Health, Inc.
• Marina Gold, MD
• Golden Day Home Health, Inc.
• Golden Day Hospice Care, Inc

• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.