Organization Active NPI

Golden Health Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1043130677
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLDEN HEALTH MEDICAL GROUP LLC
Practice address
8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429
Phone
(866) 366-5866
Fax
(888) 316-6618
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Pengfeng Jack JinNPI 1528828282
Title
Owner
Phone
(702) 900-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429

Mailing address

5599 Rollins St
Las Vegas, NV 89118-6050
Phone (866) 366-5866

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1043130677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 ROLLINS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186050",
            "telephone_number": "866-366-5866",
            "fax_number": "888-316-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W POST RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482429",
            "telephone_number": "866-366-5866",
            "fax_number": "888-316-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "PENGFENG",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-900-9888"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.