Golden State Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

C40219 Issued in CA

Legal business name

GOLDEN STATE SURGERY CENTER

Practice address

5 Holland Ste 101
Irvine, CA 92618-2568

Phone

(949) 588-2190

Fax

(949) 588-2199

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Z143H H Vartivarian, MD

Title

President

Phone

(818) 883-8477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1487084075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE STE 220",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071484",
            "telephone_number": "818-883-8477",
            "fax_number": "818-883-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "VARTIVARIAN",
        "authorized_official_first_name": "Z143H",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-883-8477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "C40219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Goldberg, PH.D., PSY.D.,RP
• Goldcare Medical Supply
• Golden Hour Counseling
• Golden Irvine Optometry Inc.
• Golden State Medical Transport LLC
• Golden Vision Optometry
• Golden Years Care LLC
• Carmen L Goldenberg, RNP
• Blaze Robert Goldman
• Morgan Haley Goldstein, AMFT

• Ambulatory Surgical Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.