Golden Age Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

64353392 Issued in CA

Legal business name

GOLDEN AGE MEDICAL TRANSPORTATION

Practice address

11110 Red Cedar Dr
San Diego, CA 92131-1310

Phone

(858) 689-9770

Fax

(619) 337-1499

NPI assigned

Feb 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Grigory Braverman

Title

General Partner

Phone

(323) 333-5383

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1649311671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 RED CEDAR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311310",
            "telephone_number": "858-689-9770",
            "fax_number": "619-337-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 RED CEDAR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311310",
            "telephone_number": "858-689-9770",
            "fax_number": "619-337-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "323-333-5383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "643533-92",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "64353392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01191F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland Goldberg, DDS
• Steven H. Goldberg, MD
• Lawrence E Goldberger, MD
• Ariella Sara Goldblatt, M.D., M.S.
• Samuel Goldeen
• Golden Coast Management Inc
• Golden Coast Marriage and Family Therapy (Golden Coast Therapy)
• Golden Health Transportation
• Golden Hearts Home Care
• Golden Hills Subacute and Rehab

• Non-emergency Medical Transport (VAN) in San Diego, CA
• Providers in San Diego, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.