Gimada Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GIMADA INCORPORATED

Doing business as

GOLDEN EDEN III

Practice address

2602 Ostrom Ave
Long Beach, CA 90815-1601

Phone

(562) 452-7434

Fax

(562) 452-7423

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Mart Hysam Pamintuan

Title

Licensee/Administrator

Phone

(323) 441-3691

Specialties & licenses 1

Addresses

Other names 1

• GOLDEN EDEN III Doing business as

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1396416343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 OSTROM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151601",
            "telephone_number": "562-452-7434",
            "fax_number": "562-452-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 OSTROM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151601",
            "telephone_number": "562-452-7434",
            "fax_number": "562-452-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMADA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "PAMINTUAN",
        "authorized_official_first_name": "MART",
        "authorized_official_middle_name": "HYSAM",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "323-441-3691"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN EDEN III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ava Marie Gillett, LPS DESIGNATED
• Marshall Gillette, M.D.
• Autrilla M Gillis
• James Branden Gilmer, D.P.T.
• Taushayia Sheon Gilmore
• Joseph Gimenez
• Greg Everett Gin, MD
• Brittany L. Giordano
• Gianna Mackenzie Gipe, OTS
• Clarrisa U. Gipson

• Assisted Living Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.