GOLDEN VALLEY HEALTH CENTERS (NPI# 1033322870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033322870 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTERS |
| Practice Address |
1717 Las Vegas St Modesto CA 95358-5500 |
| Mailing Address |
737 W Childs Ave Merced CA 95340-6805 |
| Practice Telephone | 2095764200 |
| 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 | FHC70785F | 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 |
1717 LAS VEGAS ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283148 | Alfonso Hernandez | Marriage & Family Therapist | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2005-11-22 |
| 1932741139 | Virginia Inthavong | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2019-10-09 |
| 1245748805 | Yoojin Suh | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2018-01-17 |
| 1134570864 | Ravindar Kaur | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2016-06-23 |
| 1942612742 | Rozita Akhbari | Pediatrics | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2014-05-28 |
| 1578814216 | Gabriela Teresita Rodriguez | Social Worker | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2012-09-20 |
| 1023255841 | Mechelle Renee Perea-ryan | Registered Nurse | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2009-01-15 |
| 1740460658 | Jennifer Elizondo | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-11-07 |
| 1942413786 | Golden Valley Health Centers | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| 1851504690 | Golden Valley Health Centers | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| 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.