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GSOMC-BILLING
NPI 1174794408
Specialist in Ridgecrest, CA

Active since March 14, 2008
301 DRUMMOND AVE, RIDGECREST, CA 93555(760) 371-7329(661) 726-6291 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gsomc-billing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GSOMC-BILLING (NPI 1174794408) is a healthcare organization registered as a specialist in Ridgecrest, California and active in the NPI registry since March 2008. The organization lists Ruwanthi S Campano, President, as its authorized official.

NPPES Registry Identity

NPI1174794408
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGOLDEN STATE OTOLARYNGOLOGY MEDICAL
Location Address301 DRUMMOND AVERidgecrest, CA 93555-3187
Mailing AddressPo Box 6558Lancaster, CA 93539-6558 · (661) 726-6277 · Fax (661) 726-6291
Phone(760) 371-7329
Fax(661) 726-6291
Organization SubpartNo
Authorized OfficialRuwanthi S CampanoPresident · (661) 726-6277
Enumeration DateMarch 14, 2008
Last NPPES UpdateAugust 12, 2014
✔ NPI 1174794408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A69121
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
301 DRUMMOND AVE, Ridgecrest, CA 93555
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Other Names 1

Other NameGsomc-billing

Other Identifiers 3

Medicare UPINH58655CA
Medicare PINW18746CA
OtherZZZ64933ZCA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gsomc-billing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gsomc-Billing, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ruwanthi Campano, M.D
Otolaryngology
NPI 1023018389
41301 12TH ST W STE A
Palmdale, CA 93551
(661) 726-6277
✔ PECOS✔ Accepts Medicare74 mi
Sarah Robertson, NP
Nurse Practitioner
NPI 1356690234
41210 11TH ST W
Palmdale, CA 93551
(661) 947-7100
✔ PECOS✔ Accepts Medicare74 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden State Otolaryngology Medical's NPI number?

The NPI number for Golden State Otolaryngology Medical is 1174794408. It was assigned to this organization in the NPPES registry on March 14, 2008. The provider is also known as Gsomc-Billing.

Where is Golden State Otolaryngology Medical located?

Golden State Otolaryngology Medical is located at 301 Drummond Ave, Ridgecrest, CA 93555. The listed phone number is (760) 371-7329.

What is Golden State Otolaryngology Medical's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Golden State Otolaryngology Medical enrolled in Medicare?

Yes. Golden State Otolaryngology Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden State Otolaryngology Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Golden State Otolaryngology Medical, in Nurse Practitioner and Otolaryngology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Golden State Otolaryngology Medical was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.