Gold Creek Vitality

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GOLD CREEK VITALITY

Practice address

7203 Woodlawn Ave NE
Seattle, WA 98115-5335

Phone

(909) 957-1429

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Alan Gross, MDNPI 1629093588

Title

Owner

Phone

(909) 957-1429

Specialties & licenses 1

Addresses

Other names 1

• GOLD CREEK VITALITY Doing business as

Locations

Practitioners 1

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

• Alan S. Gross

  • Orthopaedic Surgery Physician
  • Juneau, AK
  • NPI 1629093588
  NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1376350041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155335",
            "telephone_number": "909-957-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155335",
            "telephone_number": "909-957-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CREEK VITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-957-1429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLD CREEK VITALITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maya Gabrielle Golan, ARNP
• Ralph T Golan, M.D.
• Galarah Golanbar, PHARMD
• Marina Goland, PHARMD
• Molly Golanka
• Asher B Gold, M.D.
• Elizabeth Gold
• Jeffrey Alan Gold, MSW., PH.D.
• Philip J. Gold, MD
• Rebecca Susan Gold, MD

• Health Service Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.