Golden State Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1639 Issued in CA

Legal business name

GOLDEN STATE AMBULANCE INC.

Practice address

3801 Charter Park CT Ste E
San Jose, CA 95136-1386

Phone

(408) 445-7400

Fax

(408) 445-0474

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By 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

Lawrence R Marsala

Title

President

Phone

(408) 445-7400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902811722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CHARTER PARK CT STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361386",
            "telephone_number": "408-445-7400",
            "fax_number": "408-445-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CHARTER PARK CT STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361386",
            "telephone_number": "408-445-7400",
            "fax_number": "408-445-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSALA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-445-7400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "1639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "CGP163356",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00924F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Golden Natural Healthcare LLC
• Golden Natural Medical Group
• Golden Oak Care, Inc
• Golden State Audiology Associates
• Golden State Orthopedics & Spine
• Golden State Orthopedics & Spine
• Golden State Orthopedics & Spine
• Golden State Smiles

• Land Ambulance in San Jose, CA
• Providers in San Jose, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.