Golden Gate Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A050788 Issued in CA

Legal business name

GOLDEN GATE SURGERY CENTER LLC

Practice address

450 Sutter St
5TH FL
San Francisco, CA 94108-4206

Phone

(415) 409-1367

Fax

(415) 896-4922

NPI assigned

Aug 25, 2016

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Colyvas, M.D.

Title

Medical Director

Phone

(415) 409-1367

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1790231256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "STE 900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-409-1367",
            "fax_number": "415-896-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "5TH FL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206",
            "telephone_number": "415-409-1367",
            "fax_number": "415-896-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "COLYVAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-409-1367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A050788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Gate Pediatrics, a Medical Corporation
• Golden Gate Perfusion, Inc.
• Golden Gate Physical Therapy
• Golden Gate Psychology Inc.
• Golden Gate Radiology Medical Group, Inc.
• Golden Gate Surgicenter LLC (Golden Gate Surgery Center)
• Golden Gate Urgent Care, Inc (Golden Gate Urgent Care)
• Golden Gate Urgent Care, Inc
• Golden Gate Urology Inc
• Golden Gate Urology Inc

• Ambulatory Surgical Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.