Active NPI
Steven C Gole, D.D.S.
- General Practice Dentistry
- Gardena, CA
National Provider Identifier
1376565432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29896
- Practice address
- 14017 Van Ness Ave
Gardena, CA 90249-2915 - Phone
- (310) 327-8612
- Fax
- (310) 327-5177
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29896 | CA | Primary |
Addresses
Primary practice location
14017 Van Ness Ave
Gardena, CA 90249-2915
Mailing address
14017 Van Ness Ave
Gardena, CA 90249-2915
Phone (310) 327-8612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29896 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1376565432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14017 VAN NESS AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902492915",
"telephone_number": "310-327-8612",
"fax_number": "310-327-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14017 VAN NESS AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902492915",
"telephone_number": "310-327-8612",
"fax_number": "310-327-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLE",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "29896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.