GOLDEN VALLEY HEALTH CENTERS (NPI# 1457565590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457565590 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTERS |
| Practice Address |
2760 3rd St Ceres CA 95307-3220 |
| Mailing Address |
737 W Childs Ave Merced CA 95340-6805 |
| Practice Telephone | 2095565011 |
| Practice Fax Number | 2093843966 |
| Mailing Telephone | 2093831848 |
| Mailing Fax Number | 2093843966 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HELEN ROEHLK (ADMIN. ASSIST. CREDENTIALING) |
| Authorized Official Telephone | 2093855434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 | FHC71154F | 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 |
2760 3RD ST |
| City | CERES |
| State | CA |
| Zip Code | 95307-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962454652 | Daniel Tri Diep | Family Medicine | 2760 3rd St, Ceres, CA 95307-3235 | 2006-05-17 |
| 1245866086 | Alfayo Michira | Physician Assistant | 2760 3rd St, Ceres, CA 95307-3235 | 2020-03-12 |
| 1255862553 | Elizabeth Catalina Weil | Registered Nurse | 2760 3rd St, Ceres, CA 95307-3235 | 2017-03-27 |
| 1730549080 | Shabana Sunesara | Nurse Practitioner | 2760 3rd St, Ceres, CA 95307 | 2016-02-29 |
| 1528465408 | Shelli Anne Nunes-briones | Social Worker | 2760 3rd St, Ceres, CA 95307-3235 | 2014-11-20 |
| 1891199055 | Elisabeth Ann Smith | Social Worker | 2760 3rd St, Ceres, CA 95307-3235 | 2014-10-17 |
| 1396923454 | Vlascovia Marlene Velasco Rios | Physician Assistant | 2760 3rd St, Ceres, CA 95307-3235 | 2008-01-31 |
| 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 |
| 1295915213 | Lisa Jewell Sanders | Registered Nurse | 2760 3rd St, Ceres, CA 95307-3220 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962454652 | Daniel Tri Diep | Family Medicine | 2760 3rd St, Ceres, CA 95307-3235 | 2006-05-17 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1134102452 | Pat May Pamanian Limpiado | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2005-11-21 |
| 1427586825 | Gustavo Javier Gutierrez Colin | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2017-05-30 |
| 1275829756 | Anika Godhwani | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2011-06-23 |
| 1720226533 | Kim Ethel Goodsell | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2009-02-02 |
| 1356536973 | Kerry Bruce Evnin | Family Medicine | 3641 Mitchell Rd, Ste H, Ceres, CA 95307 | 2007-09-06 |
| 1437169224 | John English | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2006-08-08 |
| 1811937832 | Richard Robert Rutherford | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2006-06-07 |
| 1366491292 | Elvis M Fedalizo | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2006-05-08 |
| Find all providers in CERES | ||||
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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.