Gold Coast Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

117591 Issued in CA

Legal business name

GOLD COAST AMBULANCE SERVICE

Doing business as

LIFELINE MEDICAL TRANSPORT

Practice address

200 Bernoulli Cir
Oxnard, CA 93030-8012

Phone

(805) 485-1231

Fax

(805) 485-4610

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Timothy Joseph Dorn

Title

Chief Administrative Officer

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LIFELINE MEDICAL TRANSPORT Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1568456002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745418",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BERNOULLI CIR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308012",
            "telephone_number": "805-485-1231",
            "fax_number": "805-485-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "117591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568456002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Kidane Goba, M.D.
• Gene Gobuyan
• Jaynee Irene Goddard
• Gods Hand Home Care Inc
• Barbara J Golbert, DMD
• Gold Coast Vision LLC
• Danielle Shannon Gold
• Sylvia Goldhammer
• Thomas Goldschmidt, MD
• Mahfam Golshan

• Land Ambulance in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.

Verify at the official NPI Registry.