Golden Coast Plastic Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

GOLDEN COAST PLASTIC SURGERY, PC

Practice address

133 Arch St Ste 4
Redwood City, CA 94062-1326

Phone

(347) 770-5891

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Derek Ulvila, MD

Title

Ceo

Phone

(347) 770-5891

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1578031084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ARCH ST STE 4",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ARCH ST STE 4",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621326",
            "telephone_number": "347-770-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "ULVILA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-770-5891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akash Goel, MD MPH
• Sarah Goessling
• Victoria Nwenwe Goh, DDS
• Gold Stallion, Inc
• Marie Goldberg
• Geri Goldmann, LCSW
• Tania Mae Mendoza Golo-Atkin, BSN, RN, AMB-BC
• Karen Gomez-Vargas
• Christina Gomez
• Patricia Gomez, CCC-SLP

• Plastic Surgery Physician in Redwood City, CA
• Providers in Redwood City, 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 Nov 2, 2018; 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.