Organization Active NPI

Golden Castle Adhc Center, Inc.

  • Adult Day Care Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1730307448
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070001316 Issued in CA
Legal business name
GOLDEN CASTLE ADHC CENTER, INC.
Practice address
3803 E Bayshore Rd
Palo Alto, CA 94303-4300
Phone
(650) 964-1964
Fax
(650) 964-1978
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Oleg Kinder
Title
Ceo
Phone
(650) 964-1964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Adult Day Care Clinic/Center 261QA0600X 070001316 CA Primary

Addresses

Primary practice location

3803 E Bayshore Rd
Palo Alto, CA 94303-4300

Mailing address

3803 E Bayshore Rd
Palo Alto, CA 94303-4300
Phone (650) 964-1964

Other identifiers 1

IdentifierTypeStateIssuer
ADU70364FMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2123484Golden Castle Adhc Center, Inc3803 E Bayshore Rd, Palo Alto, CA 94303Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

1137 San Antonio Rd
Ste B
Palo Alto, CA 94303
Phone (408) 810-0404

3803 E Bayshore Rd
Palo Alto, CA 94303
Phone (408) 718-5643

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1730307448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 E BAYSHORE RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034300",
            "telephone_number": "650-964-1964",
            "fax_number": "650-964-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 E BAYSHORE RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034300",
            "telephone_number": "650-964-1964",
            "fax_number": "650-964-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CASTLE ADHC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-964-1964"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070001316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70364F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.