GOLDEN STATE MEDICAL INC (NPI# 1194717520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194717520 |
| Entity Type | Organization |
| Organization Name | GOLDEN STATE MEDICAL INC |
| Practice Address |
200 Linden Ave 100 Auburn CA 95603-5280 |
| Mailing Address |
Po Box 300 Auburn CA 95604-0300 |
| Practice Telephone | 8006962900 |
| Practice Fax Number | 5308853631 |
| Mailing Telephone | 8006962900 |
| Mailing Fax Number | 5308853631 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | MR. SCOTT GRAVES (CEO) |
| Authorized Official Telephone | 8006962900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | CO2725 | CA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME01705F | 05 |
| Street Address |
200 LINDEN AVE 100 |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-5280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505400 | Tenspede Medical, Inc. | Durable Medical Equipment & Medical Supplies | 200 Linden Ave, Suite 250, Auburn, CA 95603-5280 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
| 1043818974 | Charity Dawn Mapa- Hendrickson | Durable Medical Equipment & Medical Supplies | 112 Orrin Dr, Auburn, CA 95603-5505 | 2020-10-13 |
| 1962026138 | Green River Associates Inc | Durable Medical Equipment & Medical Supplies | 2115 14th St Ste 201, Auburn, NE 68305-1760 | 2020-06-03 |
| 1104454925 | Itoro Akpan Ukpe | Durable Medical Equipment & Medical Supplies | 6852 Montevista Dr Se, Auburn, WA 98092-8223 | 2020-03-28 |
| 1033602636 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 1314 E 7th St Ste 105, Auburn, IN 46706-2533 | 2018-06-08 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1083151658 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 17 E Genesee St Ste 208, Auburn, NY 13021-4040 | 2017-01-20 |
| 1184176950 | Sleep Well, Inc | Durable Medical Equipment & Medical Supplies | 232 Center St Fl 2, Auburn, ME 04210-6136 | 2016-10-27 |
| 1174978837 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1406 Lake Tapps Pkwy Se, Auburn, WA 98092-8154 | 2016-05-02 |
| 1932574936 | Placer Managed Care, LLC | Durable Medical Equipment & Medical Supplies | 180 Hidden Creek Dr, Auburn, CA 95603-4669 | 2015-12-02 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.