Golden West Medical Corporation

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

42656 Issued in CA

Legal business name

GOLDEN WEST MEDICAL CORPORATION

Practice address

1000 S. Anaheim Blvd.
Suite 200
Anaheim, CA 92805-5802

Phone

(714) 634-4884

Fax

(714) 635-5389

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian Capeloto, M.D.

Title

Medical Director

Phone

(714) 634-4884

Specialties & licenses 4

Addresses

Other names 1

• Golden West Medical Center Doing business as

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1841616026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. ANAHEIM BLVD.",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055802",
            "telephone_number": "714-634-4884",
            "fax_number": "714-635-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S. ANAHEIM BLVD.",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055802",
            "telephone_number": "714-634-4884",
            "fax_number": "714-635-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WEST MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "CAPELOTO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-634-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "42656",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "42656",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "68972",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "42656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden West Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Golden Memories Senior Home LLC
• Golden State Family Clinic
• Golden Way Care, Inc
• Golden West Medical Center
• Golden West Medical Corporation
• Golden West Radiology Medical Group
• Golden Years Group LLC
• Golding Care Hospice Inc.
• Amir Golriz, M.A., BCBA
• Jessica Gomez Gudino, MS

• Occupational Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.