Golden State Diagnostic Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GOLDEN STATE DIAGNOSTIC INC

Doing business as

Sunnyvale Imaging Center

Practice address

568 S Mathilda Ave
Sunnyvale, CA 94086-6287

Phone

(408) 738-0232

Fax

(408) 732-0242

NPI assigned

Nov 8, 2006

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Terri A Perez

Title

Contract Personnel

Phone

(209) 261-7905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUNNYVALE IMAGING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark J Larsen, M.D.

  • Diagnostic Radiology Physician
  • Orinda, CA
  • NPI 1992894141
  NPD
• Tatiana Voci, MD

  • Diagnostic Radiology Physician
  • San Bernardino, CA
  • NPI 1760510879
  NPD
• Hooman Karimi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sunnyvale, CA
  • NPI 1013962125
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1386714335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 S MATHILDA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867607",
            "telephone_number": "408-738-0232",
            "fax_number": "408-732-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 S MATHILDA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866287",
            "telephone_number": "408-738-0232",
            "fax_number": "408-732-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTRACT PERSONNEL",
        "authorized_official_telephone_number": "209-261-7905",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386714335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNNYVALE IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheetal S Gokhale, DDS
• Gold Star Caregivers LLC
• Gold Star Hospice LLC
• Gary M Gold, O. D.
• Golden Needle Acupuncture Center, Inc (Golden Needle Acupuncture Center)
• Golden Sunshine Health Inc
• Rachel Rebecca Goldstein, M.D.
• Keerthi Golla, DMD
• Radha Murali Gomatam, RPH
• Dom Ernest L Gomez, DPT

• Radiology Clinic/Center in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.