Active NPI
Gold Standard Urology
Doing business as Gold Standard Urology Medical Group
- Urology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A100321
- Legal business name
- GOLD STANDARD UROLOGY
- Doing business as
- Gold Standard Urology Medical Group
- Practice address
- 617 W Manchester Ave
Los Angeles, CA 90044-5718 - Phone
- (213) 750-7675
- Fax
- (888) 534-5766
- NPI assigned
- Jul 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana Nicole Scott, M.D.
- Title
- President
- Phone
- (213) 750-7675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A100321 | CA | |
| Urology Physician | 208800000X | A100321 | CA | Primary |
Addresses
Primary practice location
617 W Manchester Ave
Los Angeles, CA 90044-5718
Mailing address
4859 W Slauson Ave
#305
Los Angeles, CA 90056-1290
Phone (213) 750-7675
Other names 1
- Gold Standard Urology Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4859 W Slauson Ave
#305
Los Angeles, CA 90056
Phone (323) 846-4265
4859 W Slauson Ave
Ste 305
Los Angeles, CA 90056
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341273600000",
"number": "1417211533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4859 W SLAUSON AVE",
"address_2": "#305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900561290",
"telephone_number": "213-750-7675",
"fax_number": "888-534-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900445718",
"telephone_number": "213-750-7675",
"fax_number": "888-534-5766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD STANDARD UROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-750-7675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A100321",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "A100321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gold Standard Urology Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.