Fresno Gold Medical

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

GO79669 Issued in CA

Legal business name

FRESNO GOLD MEDICAL

Practice address

5293 N 1St St
Fresno, CA 93710-7007

Phone

(559) 761-0632

Fax

(559) 353-2773

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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

Dr. Ron Y Goldstein, M.D.

Title

President & Ceo

Phone

(949) 289-5490

Specialties & licenses 1

Addresses

Tax ID family

Fresno Gold Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fresno Multi-Specialty Clinic

  • Orthopaedic Hand Surgery Physician
  • Fresno, CA
  • NPI 1972975035
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fresno Multi-Specialty Clinic

  • Orthopaedic Hand Surgery Physician
  • Fresno, CA
  • NPI 1972975035
  NPPES parent name

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1508233974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107007",
            "telephone_number": "559-761-0632",
            "fax_number": "559-353-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5293 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107007",
            "telephone_number": "559-761-0632",
            "fax_number": "559-353-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO GOLD MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "949-289-5490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "GO79669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresno Dermatology Specialists, Inc (Paz Dermatology)
• Fresno Endodontic Group
• Fresno Endoscopy Center
• Fresno Family Therapy
• Fresno Family Wellness Group, Inc.
• Fresno Healthcare Center, Inc.
• Fresno Healthcare Center, Inc.
• Fresno Healthcare, LLC (Golden Cross Healthcare)
• Fresno Heritage Partners, LP
• Fresno High School

• Plastic Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.