Provider Demographics
NPI:1770456014
Name:GOLDEN GATE MOBILE GERIATRIC CARE, A NURSING P.C.
Entity type:Organization
Organization Name:GOLDEN GATE MOBILE GERIATRIC CARE, A NURSING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:510-399-0793
Mailing Address - Street 1:2108 N ST # 10310
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5712
Mailing Address - Country:US
Mailing Address - Phone:510-399-0793
Mailing Address - Fax:
Practice Address - Street 1:2108 N ST # 10310
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5712
Practice Address - Country:US
Practice Address - Phone:510-399-0793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty