Individual provider Active NPI

Gol Ara, MD

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1780180687
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A182327 Issued in CA
Practice address
320 Pine Ave Ste 609
Long Beach, CA 90802-2310
Phone
(562) 246-6221
Fax
(562) 661-9672
NPI assigned
Apr 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A182327 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

320 Pine Ave Ste 609
Long Beach, CA 90802-2310

Mailing address

320 Pine Ave Ste 609
Long Beach, CA 90802-2310
Phone (562) 246-6221

Other practice location 1

Msc( Psychiatry) 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2223

Other names 1

  • Golara Zahmatkesh Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Albuquerque
CONNECT URL https://www.pacificmindhealth.com/providers.html?gad_source=1&gclid=Cj0KCQiA1rSsBhDHARIsANB4EJZcPhDrVK-xNpStLIuroYWwg0rvfDef_31WVr4siXxbLcl_G0hb1YgaAiKiEALw_wcB Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429001598 CA Practitioner - Psychiatry 3375891211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182327CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flatow Medical Corporation Apc Psychiatry CurrentSince Feb 15, 2024 Accepting new patients
Thomas and Flatow Medical Corporation Psychiatry CurrentSince Dec 31, 2023 Accepting new patients

Locations

320 Pine Ave
Ste 609
Long Beach, CA 90802
Phone (310) 571-5041

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1780180687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "562-246-6221",
            "fax_number": "562-661-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "562-246-6221",
            "fax_number": "562-661-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc( Psychiatry) 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2223",
            "fax_number": "505-272-4639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARA",
        "first_name": "GOL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A182327",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Albuquerque",
            "affiliation": "N",
            "address_1": "Msc( Psychiatry) 1 University Of New Mexico",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871310001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pacificmindhealth.com/providers.html?gad_source=1&gclid=Cj0KCQiA1rSsBhDHARIsANB4EJZcPhDrVK-xNpStLIuroYWwg0rvfDef_31WVr4siXxbLcl_G0hb1YgaAiKiEALw_wcB",
            "affiliation": "N",
            "endpointDescription": "Mental Health Provider",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mental Health Provider",
            "address_1": "320 Pine Ave Ste 609",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908022310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GOLARA",
            "last_name": "ZAHMATKESH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.