Active NPI
Golden State Otolaryngology Medical
- Specialist
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A69121
- Legal business name
- GOLDEN STATE OTOLARYNGOLOGY MEDICAL
- Practice address
- 41301 12TH St W
Suite a
Palmdale, CA 93551-1464 - Phone
- (661) 726-6277
- Fax
- (661) 726-6291
- NPI assigned
- Aug 8, 2014
- Last updated
- Aug 8, 2014
- 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
- Ruwanthi Campano, MD
- Title
- Ceo
- Phone
- (661) 726-6277
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A69121 | CA | Primary |
Addresses
Primary practice location
41301 12TH St W
Suite a
Palmdale, CA 93551-1464
Mailing address
41301 12TH St W
Suite a
Palmdale, CA 93551-1464
Phone (661) 726-6277
National Provider Directory
National Provider Directory- Tax ID family
- Golden State Otolaryngology
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Ridgecrest, CA
- NPI 1174794408
-
- Specialist
- Lancaster, CA
- NPI 1568660611
Locations
41301 12th St W
Ste A
Palmdale, CA 93551
Phone (661) 726-6277
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.
-
- Otolaryngology Physician
- Palmdale, CA
- NPI 1023018389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407456000000",
"number": "1518376011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41301 12TH ST W",
"address_2": "SUITE A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511464",
"telephone_number": "661-726-6277",
"fax_number": "661-726-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41301 12TH ST W",
"address_2": "SUITE A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511464",
"telephone_number": "661-726-6277",
"fax_number": "661-726-6291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN STATE OTOLARYNGOLOGY MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A",
"authorized_official_last_name": "CAMPANO",
"authorized_official_first_name": "RUWANTHI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-726-6277",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A69121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.