NPIMap

Organization Active NPI

Golden Ear Medical Group, Inc

  • Specialist
  • Gardena, CA
National Provider Identifier
1760408256
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G36302 Issued in CA
Legal business name
GOLDEN EAR MEDICAL GROUP, INC
Practice address
1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128
Phone
(310) 329-8633
Fax
(310) 329-8636
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Gary Eugene Ford, MD
Title
Medical Director
Phone
(310) 329-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G36302 CA Primary

Addresses

Primary practice location

1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128

Mailing address

1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128
Phone (310) 329-8633

National Provider Directory

National Provider Directory

Locations

1141 W Redondo Beach Blvd
Ste 402
Gardena, CA 90247
Phone (310) 329-8631

1250 Oakmead Pkwy
Ste 210
Sunnyvale, CA 94085
Phone (310) 329-8633

Practitioners & affiliated clinicians

Practitioners 8

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1760408256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-329-8633",
            "fax_number": "310-329-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 575",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-329-8633",
            "fax_number": "310-329-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EAR MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-329-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G36302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.