Golden State Epsilon Kidney Care PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GOLDEN STATE EPSILON KIDNEY CARE PC

Practice address

390 W Standley St Ste B
Ukiah, CA 95482-4346

Phone

(609) 608-0563

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Stella Awua-Larbi, MDNPI 1316117443

Title

Ceo

Phone

(609) 608-0563

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stella Yaa Awua-Larbi, M.D.

  • Nephrology Physician
  • Joliet, IL
  • NPI 1316117443
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1942074786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 TEHUACAN RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822007",
            "telephone_number": "609-608-0563",
            "fax_number": "877-671-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W STANDLEY ST STE B",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824346",
            "telephone_number": "609-608-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE EPSILON KIDNEY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "AWUA-LARBI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-608-0563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Glanders
• Molly Ellen Gleeson, LM, LICENSED MIDWIFE
• Shelby Goates
• Sierra Goeken
• Samuel Goldberg, M.D.
• Heather Golden, HSW
• Amy Lynn Goldenberg
• Erika Esmeralda Gomez Puentes, CARE MANAGER I
• Olga Gomez Soto
• Charles Gomez

• Nephrology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.