Organization Active NPI

Gold Medical Group, Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1730136359
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A34065 Issued in CA
Legal business name
GOLD MEDICAL GROUP, INC.
Doing business as
Gold Medical Group Inc
Practice address
1700 Cesar E. Chavez
Suite #3300
Los Angeles, CA 90033-0000
Phone
(323) 264-4114
Fax
(323) 264-4662
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Rosanna Iskander, MDNPI 1265500896
Title
Owner
Phone
(323) 264-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G186240 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A40133 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A34065 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A44512 CA

Addresses

Primary practice location

1700 Cesar E. Chavez
Suite #3300
Los Angeles, CA 90033-0000

Mailing address

1700 Cesar E. Chavez
Suite #3300
Los Angeles, CA 90033-0000
Phone (323) 264-4114

Other names 1

  • GOLD MEDICAL GROUP INC Doing business as

National Provider Directory

National Provider Directory

Locations

1111 W 6th St
Fl 2
Los Angeles, CA 90017
Phone (213) 977-9704

14600 Sherman Way
#1
Van Nuys, CA 91405
Phone (213) 975-9626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1730136359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CESAR E. CHAVEZ",
            "address_2": "SUITE #3300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900330000",
            "telephone_number": "323-264-4114",
            "fax_number": "323-264-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CESAR E. CHAVEZ",
            "address_2": "SUITE #3300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900330000",
            "telephone_number": "323-264-4114",
            "fax_number": "323-264-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "ISKANDER",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-264-4114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G186240",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34065",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A44512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLD MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.