Active NPI
Goldstar Healthcare Center of Inglewood, LLC
- Skilled Nursing Facility
- Inglewood, CA
National Provider Identifier
1972721355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 910000024
- Legal business name
- GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD, LLC
- Practice address
- 515 Centinela Ave
Inglewood, CA 90302-3215 - Phone
- (310) 674-4500
- Fax
- (310) 674-9393
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dov Goldner
- Title
- Administrator
- Phone
- (310) 674-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 910000024 | CA | Primary |
Addresses
Primary practice location
515 Centinela Ave
Inglewood, CA 90302-3215
Mailing address
515 Centinela Ave
Inglewood, CA 90302-3215
Phone (310) 674-4500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245024000000",
"number": "1972721355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CENTINELA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903023215",
"telephone_number": "310-674-4500",
"fax_number": "310-674-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CENTINELA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903023215",
"telephone_number": "310-674-4500",
"fax_number": "310-674-9393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2009-06-15",
"status": "A",
"authorized_official_last_name": "GOLDNER",
"authorized_official_first_name": "DOV",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-674-4500"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "910000024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.