Goldstar Healthcare Center of Santa Monica, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000016 Issued in CA

Legal business name

GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA, LLC

Practice address

1340 15TH St
Santa Monica, CA 90404-1802

Phone

(310) 451-9706

Fax

(310) 451-0369

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dov Goldner, OWNER

Title

President

Phone

(323) 610-3655

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oceanview Convalescent Hospital Former legal business name

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1801836622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 15TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041802",
            "telephone_number": "310-451-9706",
            "fax_number": "310-451-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 15TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041802",
            "telephone_number": "310-451-9706",
            "fax_number": "310-451-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-610-3655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SNF",
            "identifier": "LTC06334G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SUB-ACUTE",
            "identifier": "LTC70153F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanview Convalescent Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sheryl Goldman, OTA
• Kathryn Elizabeth Goldrath
• Roman Goldring, MPT
• Elizabeth Goldschen
• Laura Goldsmith
• Alexandra Goldstein
• Andrew Goldstein, DC
• Ellie J.C. Goldstein, M.D.
• Stefanie N Goldstein, PH.D.
• William Goldstein, MFCT CAL ML13933

• Skilled Nursing Facility in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.