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GOLDEN STATE ADULT DAY HEALTH CARE INC
NPI 1215140843
Clinic/Center - Adult Day Care in San Francisco, CA

Active since May 08, 2007CLIA 05D1004380 · Waiver
738 LA PLAYA ST, SAN FRANCISCO, CA 94121(451) 387-2750(415) 387-2712 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden State Adult Day Health Care Inc NPPES

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

GOLDEN STATE ADULT DAY HEALTH CARE INC (NPI 1215140843) is a healthcare organization registered as an adult day care in San Francisco, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Dmitry Margusov, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215140843
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameGOLDEN STATE ADULT DAY HEALTH CARE INC
Location Address738 LA PLAYA STSan Francisco, CA 94121-3262
Mailing Address738 La Playa StSan Francisco, CA 94121-3262 · (451) 387-2750 · Fax (415) 387-2712
Phone(451) 387-2750
Fax(415) 387-2712
Organization SubpartNo
Authorized OfficialDmitry MargusovAdministrator · (415) 387-2750
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215140843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
738 LA PLAYA ST, San Francisco, CA 94121
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Other Identifiers 1

MedicaidADU70287FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1004380

Golden State Adult Day Health Care · San Francisco, CA
Active · expires Sep 24, 2026
CLIA Number05D1004380
Laboratory TypeAmbulance
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorJames Greenberg MD
Laboratory Phone(415) 387-2750
Laboratory LocationGolden State Adult Day Health Care738 La Playa Street, San Francisco, CA 94121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC HAO GUEST OTR
Occupational Therapist
738 LA PLAYA ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 823-0872
MS. KATYA MICHELE HOPE LCSW
Social Worker (Clinical)
738 LA PLAYA ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 387-2750

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 Adult Day Health Care Inc's NPI number?

The NPI number for Golden State Adult Day Health Care Inc is 1215140843. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Golden State Adult Day Health Care Inc located?

Golden State Adult Day Health Care Inc is located at 738 La Playa St, San Francisco, CA 94121. The listed phone number is (451) 387-2750.

What is Golden State Adult Day Health Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Golden State Adult Day Health Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1004380) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden State Adult Day Health Care Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.