Golden State Pain Solutions Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GOLDEN STATE PAIN SOLUTIONS INC

Practice address

8341 Fair Oaks Blvd Ste C
Carmichael, CA 95608-1905

Phone

(916) 999-0670

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Darryl A Bates, MD

Title

President

Phone

(916) 999-0670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Manzyuk, NP

  • Family Nurse Practitioner
  • Carmichael, CA
  • NPI 1013635135

  Single Specialty

  Medicare reassignment NPD
• Eduardo Sevilla

  • Physician Assistant
  • Yuba City, CA
  • NPI 1053942888
  Medicare reassignment

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1891458121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8341 FAIR OAKS BLVD STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081905",
            "telephone_number": "916-999-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 FAIR OAKS BLVD STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081905",
            "telephone_number": "916-999-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE PAIN SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-999-0670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nicole Goddard, NP
• Godwin Incorporative Services
• Joseph Goehring
• Carl Stephen Goetz, MD
• James Goldberg, MD
• Golden Years Management
• Kristine Lauren Golden, PA-C
• Yuliya Vic Golubova, N.P.
• Morland Jared Gonzaga
• Good Samaritan Care Facility

• Pain Clinic/Center in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.