Organization Active NPI

Golden Peak Living LLC

  • Assisted Living Facility
  • Stockton, CA
National Provider Identifier
1013881473
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOLDEN PEAK LIVING LLC
Practice address
2435 Anchor PL
Stockton, CA 95206-5908
Phone
(209) 906-9185
NPI assigned
Sep 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doderlein Anaya Fernandez
Title
Licensee
Phone
(209) 906-9185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2435 Anchor PL
Stockton, CA 95206-5908

Mailing address

2435 Anchor PL
Stockton, CA 95206-5908
Phone (209) 906-9185

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1013881473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 ANCHOR PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952065908",
            "telephone_number": "209-906-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 ANCHOR PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952065908",
            "telephone_number": "209-906-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PEAK LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DODERLEIN",
        "authorized_official_middle_name": "ANAYA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "209-906-9185"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.