Organization Active NPI

Golden State Homes, Inc.

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1932658010
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GOLDEN STATE HOMES, INC.
Practice address
1409 N Normandie Ave
Los Angeles, CA 90027-5817
Phone
(818) 731-1199
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Metksya Diremsizyan
Title
Ceo
Phone
(818) 731-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1409 N Normandie Ave
Los Angeles, CA 90027-5817

Mailing address

1409 N Normandie Ave
Los Angeles, CA 90027-5817
Phone (818) 731-1199

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2188433Golden State Homes Inc1409 N Normandie Ave, Los Angeles, CA 90027Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1932658010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275817",
            "telephone_number": "818-731-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275817",
            "telephone_number": "818-731-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DIREMSIZYAN",
        "authorized_official_first_name": "METKSYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-731-1199"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.