GOLDEN VALLEY HEALTH CENTER (NPI# 1346224417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346224417 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY HEALTH CENTER |
| Practice Address |
1114 6th St Modesto CA 95354-2203 |
| Mailing Address |
737 W Childs Ave Merced CA 95340-6805 |
| Practice Telephone | 2095762845 |
| Practice Fax Number | 2095768842 |
| 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) |
030000278 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CA LIC# | 030000278 | 01 |
| CA | BLUE SHIELD OF CA GRP PIN | ZZZ86749Z | 01 |
| CA | GR0086280 | 05 | |
| CA | CMM70062G | 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 |
1114 6TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415525 | Natalie Angele Mattos | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2005-11-21 |
| 1679184386 | Elaina Joanne Najera | Social Worker | 1114 6th St, Modesto, CA 95354-2203 | 2020-08-14 |
| 1093379752 | Natasha Neelum Douglass | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2019-04-29 |
| 1609349703 | Ankit Parikh | Pharmacist | 1114 6th St, Modesto, CA 95354-2203 | 2019-01-10 |
| 1699247155 | Theresa Nicole Creten | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2018-12-21 |
| 1063919561 | Kamalpreet Kaur | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2018-04-11 |
| 1679071658 | Araceli Martinez Perez | Social Worker | 1114 6th St, Modesto, CA 95354-2203 | 2018-01-25 |
| 1720592033 | Jennifer Ann O'connor | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2017-11-22 |
| 1699287573 | Stacey Kneeland | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2017-10-31 |
| 1124562939 | Paul Tugulumize Kiruuta | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2016-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1700282175 | Golden Valley Health Center | Clinic/Center | 1540 Florida Avenue, Modesto, CA 95350-4437 | 2014-11-13 |
| 1295719813 | Golden Valley Health Center | Clinic/Center | 1130 6th St, Modesto, CA 95354-2203 | 2005-12-06 |
| 1265030886 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 570, Modesto, CA 95350-4574 | 2020-10-15 |
| 1598363103 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 535, Modesto, CA 95350-4572 | 2020-10-15 |
| 1598302655 | Golden Valley Health Center | Clinic/Center | 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355-3396 | 2019-12-06 |
| 1568939205 | Golden Valley Health Center | Clinic/Center | 209 Kerr Ave, Modesto, CA 95354-3808 | 2018-10-31 |
| 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.