Organization Active NPI

Golden State Management Group Inc.

  • Non-emergency Medical Transport (VAN)
  • Fairfield, CA
National Provider Identifier
1750772141
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GOLDEN STATE MANAGEMENT GROUP INC.
Practice address
1101 Horizon Dr Ste 103
Fairfield, CA 94533-1688
Phone
(510) 778-0022
Fax
(510) 232-2338
NPI assigned
Feb 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Mr. Nirmaljit Singh
Title
President
Phone
(510) 778-0022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X CA Primary
Taxi 344600000X CA
Private Vehicle 347C00000X CA

Addresses

Primary practice location

1101 Horizon Dr Ste 103
Fairfield, CA 94533-1688

Mailing address

1101 Horizon Dr Ste 103
Fairfield, CA 94533-1688
Phone (510) 778-0022

Other practice location 1

401 1st St
suite 165
Richmond, CA 94801-2959
Phone (510) 778-8528

National Provider Directory

National Provider Directory

Locations

1101 Horizon Dr
Ste 103
Fairfield, CA 94533
Phone (510) 778-0022

401 1st St
Ste 165
Richmond, CA 94801
Phone (510) 778-8528

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1750772141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HORIZON DR STE 103",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331688",
            "telephone_number": "510-778-0022",
            "fax_number": "510-232-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HORIZON DR STE 103",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331688",
            "telephone_number": "510-778-0022",
            "fax_number": "510-232-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 1st St",
            "address_2": "suite 165",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948012959",
            "country_code": "US",
            "telephone_number": "510-778-8528",
            "fax_number": "510-232-2338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN STATE MANAGEMENT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "NIRMALJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-778-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.