Golden Coast Mso, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GOLDEN COAST MSO, INC.

Practice address

590 N Sierra Way
San Bernardino, CA 92410-4817

Phone

(909) 461-1515

Fax

(833) 606-1238

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Alex Partal

Title

Operations

Phone

(909) 461-1515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1760083646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104817",
            "telephone_number": "909-461-1515",
            "fax_number": "833-606-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104817",
            "telephone_number": "909-461-1515",
            "fax_number": "833-606-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST MSO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "PARTAL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "909-461-1515"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Godoy
• Andrew Jacob Godoy
• Rojeania Godsey-Erb
• Godwin Abodoh
• Iliya Goldberg, M.D.
• Golden Medical Services
• Golden Valley Medical & Oxygen Service
• Goldencrest Primary Care
• Amir Hossen Golsorkhi, MD
• Samantha Golucino

• Primary Care Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.