Organization Active NPI

Golden State Wound Care a Medical Corporation

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1972499523
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLDEN STATE WOUND CARE A MEDICAL CORPORATION
Practice address
96 N Madison Ave
Pasadena, CA 91101-1740
Phone
(626) 376-4439
Fax
(626) 602-3863
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Narbeh Tovmassian, MDNPI 1750643508
Title
Owner
Phone
(818) 404-9497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

96 N Madison Ave
Pasadena, CA 91101-1740

Mailing address

96 N Madison Ave
Pasadena, CA 91101-1740
Phone (626) 376-4439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251003004114 CA Part B Supplier - Clinic/Group Practice 1355857137 Receives reassigned benefits from 5 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

96 N Madison Ave
Pasadena, CA 91101
Phone (626) 376-4439

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1972499523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011740",
            "telephone_number": "626-376-4439",
            "fax_number": "626-602-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011740",
            "telephone_number": "626-376-4439",
            "fax_number": "626-602-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE WOUND CARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "TOVMASSIAN",
        "authorized_official_first_name": "NARBEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-404-9497",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.