Golden Valley Health Centers

Organization Active NPI Medical Physician Assistant · Modesto, CA

NPI 1033322870 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1033322870
Entity type
Organization (NPI type 2)
Primary specialty
Medical Physician Assistant 363AM0700X
Legal business name
GOLDEN VALLEY HEALTH CENTERS
Practice address
1717 Las Vegas St
Modesto, CA 95358-5500
Phone
(209) 576-4200
Fax
(209) 384-3966
NPI assigned
May 8, 2007
Organization subpart
No

Authorized official

Name
Ms. Helen Roehlk
Title
Adm. Assist. Credentialing
Phone
(209) 385-5434

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Golden Valley HLTH CT (96 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X CA
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X CA
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X CA
Medical Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363AM0700X CA Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X CA

Addresses

Primary practice location

1717 Las Vegas St
Modesto, CA 95358-5500

Mailing address

737 W Childs Ave
Merced, CA 95340-6805
Phone (209) 383-1848

Other identifiers

IdentifierTypeStateIssuer
FHC70785FMedicaidCA

Other providers in Modesto, CA

All providers in Modesto, CA · Medical Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.