Golden Years Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

070592001 Issued in CA

Legal business name

GOLDEN YEARS MEDICAL, INC.

Practice address

625 Du Bois St
Suite C
San Rafael, CA 94901-3944

Phone

(415) 453-6500

Fax

(415) 453-6505

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Ronnie Naiker

Title

Ceo

Phone

(415) 453-6500

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1720089584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DU BOIS ST",
            "address_2": "SUITE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013944",
            "telephone_number": "415-453-6500",
            "fax_number": "415-453-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DU BOIS ST",
            "address_2": "SUITE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013944",
            "telephone_number": "415-453-6500",
            "fax_number": "415-453-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "NAIKER",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-453-6500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "070592001",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "8531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01000F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravinder Gogia, MD
• Ira J Golchehreh, LAC OMD QME
• Albert Chester Goldberg, MD
• William Goldberg, LPCC
• Golden State TMS Neuropsychological Services
• Ronald Golden, RONALD GOLDEN, L.AC.
• Aleksandra Goldenberg, MA
• Tina Goldiano, RDHAP
• Mark Joel Goldstein, PH.D.
• Andrea Gomez

• Durable Medical Equipment & Medical Supplies in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.