Golden Road Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GOLDEN ROAD RECOVERY LLC

Practice address

22560 Lassen St
Chatsworth, CA 91311-2649

Phone

(747) 201-1169

NPI assigned

Apr 22, 2019

Organization subpart

No

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

Authorized official

Name

Abraham Ter-Petrosyan

Title

Ceo

Phone

(747) 201-1169

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1952964272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22560 LASSEN ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112649",
            "telephone_number": "747-201-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22560 LASSEN ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112649",
            "telephone_number": "747-201-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9551 Baden Ave",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913112620",
            "country_code": "US",
            "telephone_number": "747-201-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN ROAD RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "TER-PETROSYAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-201-1169"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Goldstar Healthcare Center of Chatsworth, Inc.
• Pegah Golpanian, PHARMD
• Ivan Alberto Gonzalez

• Substance Abuse Rehabilitation Facility in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.