Organization Active NPI

Golden Gate Eye Associates, Inc.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1376809723
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A95763 Issued in CA
Legal business name
GOLDEN GATE EYE ASSOCIATES, INC.
Practice address
711 Van Ness Ave Ste 440
San Francisco, CA 94102-3284
Phone
(415) 351-2000
Fax
(415) 351-2002
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Marilyn K. Maestas
Title
Practice Manager
Phone
(415) 387-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A95763 CA Primary

Addresses

Primary practice location

711 Van Ness Ave Ste 440
San Francisco, CA 94102-3284

Mailing address

711 Van Ness Ave Ste 440
San Francisco, CA 94102-3284
Phone (415) 351-2000

National Provider Directory

National Provider Directory

Locations

711 Van Ness Ave
Ste 440
San Francisco, CA 94102
Phone (415) 351-2000

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1376809723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 VAN NESS AVE STE 440",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023284",
            "telephone_number": "415-351-2000",
            "fax_number": "415-351-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 VAN NESS AVE STE 440",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023284",
            "telephone_number": "415-351-2000",
            "fax_number": "415-351-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "415-387-8887"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.