Golden State Otolaryngology Medical
NPI 1174794408 · Specialist · Ridgecrest, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Golden State Otolaryngology Medical is a Specialist organization in Ridgecrest, CA (NPI 1174794408).
Provider details
- NPI number
- 1174794408
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ruwanthi Campano, President(661) 726-6277
- License
- A69121 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Gsomc-Billing
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2014-08-12
Frequently asked questions
- What is Golden State Otolaryngology Medical's NPI number?
- Golden State Otolaryngology Medical's National Provider Identifier (NPI) is 1174794408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Golden State Otolaryngology Medical?
- Golden State Otolaryngology Medical is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Golden State Otolaryngology Medical located?
- Golden State Otolaryngology Medical's practice location on file with NPPES is 301 Drummond Ave, Ridgecrest, CA 93555-3187.
- What is Golden State Otolaryngology Medical's phone number?
- The practice phone number listed in the NPPES registry for Golden State Otolaryngology Medical is (760) 371-7329.
- Does Golden State Otolaryngology Medical accept Medicare?
- Golden State Otolaryngology Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Golden State Otolaryngology Medical?
- The authorized official listed on Golden State Otolaryngology Medical's NPPES record is Ruwanthi Campano, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Golden State Otolaryngology Medical's NPI active?
- Yes — Golden State Otolaryngology Medical's NPI (1174794408) is active in the NPPES registry as of the last update on 2014-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.