Gold Coast Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GOLD COAST SURGERY CENTER

Doing business as

Center for Specialized Surgery of Santa Barbara

Practice address

2927 De la Vina St
Santa Barbara, CA 93105-3362

Phone

(805) 770-3378

Fax

(805) 770-3379

NPI assigned

Oct 29, 2013

Last updated

Mar 1, 2023By 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

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• CENTER FOR SPECIALIZED SURGERY OF SANTA BARBARA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588092605. Details of each certification follow.

• CCN 050790 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050790

Legal name

CENTER FOR SPECIALIZED SURGERY OF SANTA BARBARA

Certification status

Terminated Voluntary: other reason for withdrawal, Mar 1, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 17, 2020

Last certification

Apr 17, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

2927 De la Vina Street
Santa Barbara, CA 93105

Listed as

Center for Specialized SurgeryCCN 05C0002049

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Ishu V Rao, MD

  • Clinical Cardiac Electrophysiology Physician
  • Ventura, CA
  • NPI 1992752166
  NPD (past)
• Robert Merrill Ruth, MD

  • Orthopaedic Hand Surgery Physician
  • Santa Barbara, CA
  • NPI 1730273681
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1588092605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053362",
            "telephone_number": "805-770-3378",
            "fax_number": "805-770-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053362",
            "telephone_number": "805-770-3378",
            "fax_number": "805-770-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR SPECIALIZED SURGERY OF SANTA BARBARA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivonne NMN Goetsch, PSYD, RPA
• Bruce Goetting, M.D.
• Marilyn J Goetz de Gaona, NP
• Kerzell Idella Goings
• Ron Golan, MD
• Julie Alison Gold
• Renee Claire Goldberg, LVN
• Sharon R Goldberg, M.D.
• Laura Goldin, PHD
• Max Golding

• Ambulatory Surgical Clinic/Center in Santa Barbara, CA
• Providers in Santa Barbara, 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 Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.