GOLDEN VALLEY HEALTH CENTER (NPI# 1922082007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922082007 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTER |
| Practice Address |
200 C St Patterson CA 95363-2701 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2098928441 |
| Practice Fax Number | 2098925984 |
| 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) |
030000279 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CA# | 030000279 | 01 |
| CA | GR0086285 | 05 | |
| CA | BLUE SHIELD OF CA GRP PIN | ZZZ83390Z | 01 |
| CA | CMM70106F | 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 |
200 C ST |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848045 | Yudelka Solano | Physician Assistant | 200 C St, Patterson, CA 95363-2701 | 2005-11-18 |
| 1154976561 | Joshua Edward Smith | Physician Assistant | 200 C St, Patterson, CA 95363-2701 | 2019-08-03 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| 1871993238 | Venkateswarlu Kadiveti | Dentist | 200 C St, Patterson, CA 95363-2701 | 2014-09-03 |
| 1912306796 | Nimmy Martina Rodrigues | Internal Medicine | 200 C St, Patterson, CA 95363-2701 | 2014-08-18 |
| 1942541024 | Golden Valley Health Centers | Clinic/Center | 200 C St, Patterson, CA 95363-2701 | 2013-03-14 |
| 1275821001 | Vaishali Benaka Hebbar | Pediatrics | 200 C St, Patterson, CA 95363-2701 | 2011-07-14 |
| 1942596689 | Amparo Campos | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2011-06-21 |
| 1174859383 | Pedro Heredia | Counselor | 200 C St, Patterson, CA 95363-2701 | 2009-10-22 |
| 1497969166 | Golden Valley Health Centers | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1902236169 | Patterson Urgent Care Inc | Family Medicine | 1010 Sperry Ave Ste D, Patterson, CA 95363 | 2013-11-25 |
| Find all providers in zip 95363 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295184117 | Livingston Community Health | Clinic/Center | 1010 W Las Palmas Ave Ste E, Patterson, CA 95363-8873 | 2016-06-10 |
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| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 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 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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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.