GOLDEN WEST MEDICAL CORPORATION (NPI# 1841616026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841616026 |
| Entity Type | Organization |
| Organization Name | GOLDEN WEST MEDICAL CORPORATION |
| Other Organization Name | GOLDEN WEST MEDICAL CENTER |
| Practice Address |
1000 S. Anaheim Blvd. Suite 200 Anaheim CA 92805-5802 |
| Practice Telephone | 7146344884 |
| Practice Fax Number | 7146355389 |
| Mailing Telephone | 7146344884 |
| Mailing Fax Number | 7146355389 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DR. BRIAN CAPELOTO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7146344884 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | 68972 | CA | Suppliers |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
42656 | CA | Ambulatory Health Care Facilities |
| N | 332900000X | Non-Pharmacy Dispensing Site | 42656 | CA | Suppliers |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
42656 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Golden West Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750746947 | Golden West Medical Corporation | Clinic/Center | 1000 S Anaheim Blvd Ste 102, Anaheim, CA 92805-5802 | 2015-12-15 |
| Street Address |
1000 S. ANAHEIM BLVD. SUITE 200 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437588944 | Pamela Hymel | Preventive Medicine | 700 W Ball Rd, Team Disney Anaheim, Room 404b, Anaheim, CA 92802-1843 | 2013-11-05 |
| 1770671141 | Workcare Inc | Preventive Medicine | 300 S Harbor Blvd, Ste 600, Anaheim, CA 92805 | 2006-10-11 |
| 1932223252 | Phillip E Baily | Preventive Medicine | 2121 S Towne Centre Pl, #100, Anaheim, CA 92806-6122 | 2007-03-19 |
| 1063560878 | Khasim H. Khan | Preventive Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1033267018 | Richard T. Pitts | Preventive Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1477620367 | Behzad Haghi | Preventive Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1407920002 | Michael H. Collins | Preventive Medicine | 300 S Harbor Blvd, Suite 600, Anaheim, CA 92805-3733 | 2006-11-17 |
| 1205907128 | Badi D. Jeffers | Preventive Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
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| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1790332260 | Aftim A Saba | Preventive Medicine | 1675 7th St Rm 232, Oakland, CA 94615-0002 | 2019-08-20 |
| 1619520905 | Lauren Krumholz Edwards | Preventive Medicine | 3421 Empresa Dr Ste D, San Luis Obispo, CA 93401-7364 | 2019-07-16 |
| 1184285827 | Gurmu Occmed Services Inc | Preventive Medicine | 500 Greenfield Ave, Hanford, CA 93230-3515 | 2019-06-24 |
| 1831605625 | Med Fit Consulting, Inc. | Preventive Medicine | 10425 Tierrasanta Blvd Ste 108, San Diego, CA 92124-2618 | 2017-12-16 |
| 1619482239 | American Health Enterprises, Inc. | Preventive Medicine | 9500 Stockdale Hwy Ste 101, Bakersfield, CA 93311-3621 | 2017-12-05 |
| 1295249548 | Rose Donna Maria Baytop | Preventive Medicine | 2200 Pacific Hwy # Mzq-4, San Diego, CA 92101-1745 | 2017-11-24 |
| 1699295790 | U.S. Healthworks Medical Group, P.C. | Preventive Medicine | 2550 N Hollywood Way Ste 100, Burbank, CA 91505-5015 | 2017-06-21 |
| 1427588706 | Metro Healthcare Medical Corporation | Preventive Medicine | 3440 Wilshire Blvd Ste 1207, Los Angeles, CA 90010-2127 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
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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.