JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA (NPI# 1235542408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235542408 |
| Entity Type | Organization |
| Organization Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA |
| Other Organization Name | GOLDEN SHORE MEDICAL GROUP |
| Practice Address |
3946 Norwood Ave Sacramento CA 95838-3300 |
| Mailing Address |
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 |
| Practice Telephone | 9165640521 |
| Practice Fax Number | 8778602907 |
| Mailing Telephone | 6263462455 |
| Mailing Fax Number | 6266393005 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | GLORIA CALDERON (PRESIDENT, AFC) |
| Authorized Official Telephone | 6263462455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EFFECTIVE 1/5/2015 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Shore Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558633255 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 790 E Foothill Blvd, Suite D, Rialto, CA 92376-5269 | 2012-01-27 |
| 1982976692 | Joseph M Molina Md Professional Corporation-southern California | Internal Medicine | 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 | 2012-01-27 |
| 1588935233 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 5549 Van Buren Blvd., Riverside, CA 92503-2068 | 2012-01-25 |
| 1124399860 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 24853 Alessandro Blvd., #4, Moreno Valley, CA 92553-6102 | 2012-01-25 |
| 1215208962 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 540 E. Artesia Boulevard, Long Beach, CA 90805-1476 | 2012-01-25 |
| 1801177944 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1714 Saint Michaels Dr, #1, Santa Fe, NM 87505-7617 | 2011-09-02 |
| 1508279779 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 | 2014-06-05 |
| 1417360686 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2014-06-05 |
| 1326451592 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2014-06-05 |
| 1164835344 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 7215 55th St, Sacramento, CA 95823-2601 | 2014-06-05 |
| Street Address |
3946 NORWOOD AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713240 | Dennie L Schultheis | Family Medicine | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2005-07-12 |
| 1932663192 | Wellspace Health | Clinic/Center | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2019-01-22 |
| 1497235634 | Linda Ifeoma Okwu | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2018-08-17 |
| 1487109955 | Esohe Abel Omoruyi | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2016-08-24 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1013348507 | Valerie O. Ajiduah | Physician Assistant | 3946 Norwood Ave, Sacramento, CA 95838-1092 | 2013-12-09 |
| 1619315231 | Thanh Ha | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2013-06-05 |
| 1013297498 | Megan Lorene Brown | Counselor | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2011-08-17 |
| 1366773061 | Tracie Marie Demarco | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2010-01-19 |
| 1053555029 | Jean Gregory Howell | Family Medicine | 3946 Norwood Ave, Sacramento, CA 95838 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| 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 |
|---|---|---|---|---|
| 1023638327 | Fast Medical Care LLC | Family Medicine | 342 Main Ave, Sacramento, CA 95838-2063 | 2020-04-16 |
| 1386275246 | Zsm Medical Services Inc | Family Medicine | 8 Cain Ct, Sacramento, CA 95834-1067 | 2020-01-30 |
| 1083265565 | Rajwinder Kaur | Family Medicine | 11 Poinsettia Ct, Sacramento, CA 95838-2282 | 2019-09-25 |
| 1629630314 | Archway Health Care Services Inc | Family Medicine | 8950 Cal Center Dr Ste 112, Sacramento, CA 95826-3236 | 2019-07-02 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1487186334 | Emilie Dempsey | Family Medicine | 2801 27th St, Sacramento, CA 95818-3221 | 2017-03-30 |
| 1396198958 | River City Medical Group Inc | Family Medicine | 7311 Greenhaven Dr, Suite 145, Sacramento, CA 95831-3572 | 2016-07-19 |
| 1215382197 | Manpreet Kaur Gill | Family Medicine | 3308 El Camino Ave # 300-434, Sacramento, CA 95821-6327 | 2016-04-28 |
| 1457764235 | Sharndeep Kaur Bains | Family Medicine | 10470 Old Placerville Road, Ste 100, Sacramento, CA 95827-2539 | 2014-06-09 |
| 1346650306 | Queena Dai | Family Medicine | 1201 Alhambra Blvd Ste 230, Sacramento, CA 95816-5241 | 2014-04-30 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
Please comment or provide details below to improve the information on JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA.
| 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.