GOLDEN VALLEY HEALTH CENTERS (NPI# 1124231865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124231865 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTERS |
| Practice Address |
1121 Hammond St Modesto CA 95351-3509 |
| Mailing Address |
737 W Childs Ave Merced CA 95340-6805 |
| Practice Telephone | 2095764437 |
| Practice Fax Number | 2093843966 |
| Mailing Telephone | 2093831848 |
| Mailing Fax Number | 2093843966 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HELEN ROEHLK (ADM. ASSIST. CREDENTIALING) |
| Authorized Official Telephone | 2093855434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| X | 1223G0001X |
Dentist Specialization: General Practice |
CA | Dental Providers | |
| X | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
CA | Physician Assistants & Advanced Practice Nursing Providers | |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70562F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992925796 | Golden Valley Health Centers | Social Worker | 9235 E Broadway, Planada, CA 95365 | 2007-04-26 |
| 1467672253 | Golden Valley Health Centers | Family Medicine | 13162 Jefferson St, Le Grand, CA 95333-9766 | 2007-04-26 |
| 1346726940 | Golden Valley Health Centers | Clinic/Center | 901 N Carpenter Rd, Modesto, CA 95351-1191 | 2018-07-17 |
| 1942541024 | Golden Valley Health Centers | Clinic/Center | 200 C St, Patterson, CA 95363-2701 | 2013-03-14 |
| 1215113386 | Golden Valley Health Centers | Clinic/Center | 1141 N Olive Ave, Turlock, CA 95380-3365 | 2008-01-18 |
| 1871779934 | Golden Valley Health Centers | Clinic/Center | 1141 N Olive Ave, Turlock, CA 95380-3365 | 2008-01-18 |
| 1124204292 | Golden Valley Health Centers | Clinic/Center | 2760 3rd St, Ceres, CA 95307-3220 | 2008-01-18 |
| 1316121437 | Golden Valley Health Centers | Clinic/Center | 2760 3rd St, Ceres, AL 95307-3220 | 2007-12-26 |
| 1497969166 | Golden Valley Health Centers | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2007-05-10 |
| 1306050075 | Golden Valley Health Centers | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2007-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOLDEN VALLEY HEALTH CENTERS | 737 W Childs Ave, Merced, CA 95340-6805 |
| Street Address |
1121 HAMMOND ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405445 | Danielle Myers | Family Medicine | 1121 Hammond St, Modesto, CA 95351-3509 | 2005-11-21 |
| 1053524793 | Golden Valley Health Centers | Family Medicine | 1121 Hammond St, Modesto, CA 95351-3509 | 2007-05-08 |
| 1144433988 | Golden Valley Health Centers | Family Medicine | 1121 Hammond St, Modesto, CA 95351-3509 | 2007-05-08 |
| 1033322771 | Golden Valley Health Centers | Family Medicine | 1121 Hammond St, Modesto, CA 95351-3509 | 2007-05-08 |
| 1205810389 | Golden Valley Health Center | Clinic/Center | 1121 Hammond St, Modesto, CA 95351-3509 | 2005-12-02 |
| 1083697148 | Jeffrey Joe | Dentist | 1121 Hammond St, Modesto, CA 95351-3509 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801379672 | Myriam Cubillo | Social Worker | 2921 Winged Foot Ct, Modesto, CA 95355-9737 | 2018-09-07 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1518205236 | Veronica Renee Tovar | Social Worker | 803 Coffee Rd Ste 10, Modesto, CA 95355-4244 | 2013-01-31 |
| 1649538869 | Maria Guadalupe Rameno | Social Worker | 1604 Ford Ave Ste 2b, Modesto, CA 95350-4649 | 2012-04-25 |
| 1952674947 | Kimberly Wright | Social Worker | 1832 Encina Ave, Modesto, CA 95354-1502 | 2012-02-22 |
| 1083921977 | Michelle Riley | Social Worker | 3340 Tully Rd Ste D4, Modesto, CA 95350 | 2010-09-13 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1952626392 | Jennifer Ellen Cooper | Social Worker | 800 Coffee Rd, Modesto, CA 95355-4233 | 2010-03-29 |
| 1063643930 | Jennifer Lee Johnson | Social Worker | 1321 I St Ste 3, Modesto, CA 95354-0902 | 2009-07-27 |
| 1639308547 | Dolores R Covarrubias | Social Worker | 1320 Standiford Ave Ste B, Modesto, CA 95350-0726 | 2009-07-13 |
| Find all providers in MODESTO | ||||
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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.