GOLDEN VALLEY HEALTH CENTER (NPI# 1689658668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689658668 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTER |
| Practice Address |
637 Merced St Newman CA 95360-1070 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2098620270 |
| Practice Fax Number | 2098620274 |
| Mailing Telephone | 2093846493 |
| Mailing Fax Number | 2093831296 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | MR. TONY WEBER (CEO) |
| Authorized Official Telephone | 2093846493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
040000364 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0086286 | 05 | |
| CA | STATE OF CA LIC# | 040000364 | 01 |
| CA | BLUE SHIELD OF CA GRP PIN | ZZZ56431Z | 01 |
| CA | CMM70613F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1699332247 | Golden Valley Health Center | Clinic/Center | 1801 Tully Rd Ste F1, Modesto, CA 95350-2937 | 2019-05-20 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1114434552 | Golden Valley Health Center | Clinic/Center | 2240 W Monte Vista Ave, Turlock, CA 95382-9667 | 2018-01-08 |
| 1114430568 | Golden Valley Health Center | Clinic/Center | 1199 Delbon Ave Ste 3, Turlock, CA 95382-2006 | 2017-11-08 |
| 1174036776 | Golden Valley Health Center | Clinic/Center | 1120 Delbon Ave, Turlock, CA 95382-2021 | 2017-11-06 |
| 1700282175 | Golden Valley Health Center | Clinic/Center | 1540 Florida Avenue, Modesto, CA 95350-4437 | 2014-11-13 |
| 1598012247 | Golden Valley Health Center | Clinic/Center | 857 West Childs Avenue, Merced, CA 95341-6805 | 2012-08-13 |
| 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 |
637 MERCED ST |
| City | NEWMAN |
| State | CA |
| Zip Code | 95360-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956068 | Courtney N Fontana | Nurse Practitioner | 637 Merced St, Newman, CA 95360-1070 | 2020-03-11 |
| 1851706378 | Gail Brockett | Dental Hygienist | 637 Merced St, Newman, CA 95360-1070 | 2014-06-23 |
| 1285946228 | Hanika Gupta | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2010-07-07 |
| 1578795464 | Divya Gangwar | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2009-08-11 |
| 1871762468 | Connie Marie Richmond | Licensed Vocational Nurse | 637 Merced St, Newman, CA 95360 | 2008-02-27 |
| 1578758736 | Cinthya Liliana Hernandez | Counselor | 637 Merced St, Newman, CA 95360-1070 | 2007-09-11 |
| 1962694208 | Alessandra D'avanzo | Family Medicine | 637 Merced St, Newman, CA 95360-1070 | 2007-08-10 |
| 1285734129 | Barbara Jeanne Cretan | Dentist | 637 Merced St, Newman, CA 95360-1070 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386718112 | Robert Allen Digiorno | Dentist | 1925 N St, Suitte E, Newman, CA 95360 | 2006-11-20 |
| 1679665970 | Westside Community Healthcare District | Ambulance | 151 South Highway 33, Newman, CA 95360 | 2006-09-28 |
| 1780776716 | Gloria D Bennett | Nurse Practitioner | 1349 Main St, Newman, CA 95360 | 2006-09-28 |
| 1063010536 | Valerie Ann Basulto | Behavior Technician | 1118 M St Apt 213, Newman, CA 95360-1075 | 2020-10-15 |
| 1679119408 | Nancy Barrington | Technician | 908 Fig Ln, Newman, CA 95360-1109 | 2019-11-27 |
| 1851624241 | Julie Renae Aguiniga | Counselor | 890 Main St, Newman, CA 95360-1119 | 2009-09-16 |
| 1649321993 | Newman-crows Landing Usd | Local Education Agency (LEA) | 890 Main St, Newman, CA 95360-1119 | 2007-01-15 |
| 1750375846 | Avalon Care Center - Newman, LLC | Skilled Nursing Facility | 709 N St, Newman, CA 95360-1162 | 2005-09-06 |
| 1225140213 | Newman Pioneer Drug Inc | Pharmacy | 1261 Main St, Newman, CA 95360-1324 | 2006-08-31 |
| 1457866329 | Ralph Klopping | Pharmacist | 1261 Main St, Newman, CA 95360-1324 | 2017-12-13 |
| Find all providers in zip 95360 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
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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.