Golden Gate Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GOLDEN GATE RECOVERY LLC

Practice address

505 San Marin Dr Ste 240B
Novato, CA 94945-1309

Phone

(650) 773-1775

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Wesley Heim

Title

Ceo

Phone

(858) 342-9151

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1881289809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SAN MARIN DR STE 240B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451309",
            "telephone_number": "858-342-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SAN MARIN DR STE 240B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451309",
            "telephone_number": "650-773-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-342-9151"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "210052AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Goldberg
• Golden Gate Pharmacy Services
• Golden Gate Pharmacy Services
• Golden Gate Pharmacy Services Inc
• Golden Gate Pharmacy Services Inc
• Golden Grove Viop
• Frances Louise Goldie-Marcus, L.C.S.W.
• Larrie Goldsmith, D.C.
• Keri Gomez
• Jeannie Marie Goodfield

• Substance Use Disorder Rehabilitation Clinic/Center in Novato, CA
• Providers in Novato, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.