NPIMap

Golden Valley Health Centers

Organization Active NPI Medical Physician Assistant · Los Banos, CA

NPI 1043430846 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1043430846
Entity type
Organization (NPI type 2)
Primary specialty
Medical Physician Assistant 363AM0700X
Legal business name
GOLDEN VALLEY HEALTH CENTERS
Practice address
821 Texas Ave
Los Banos, CA 93635-3453
Phone
(209) 826-1045
Fax
(209) 384-3966
NPI assigned
Apr 26, 2007
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 19

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
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

821 Texas Ave
Los Banos, CA 93635-3453

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
BCP03901FOtherCACDP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043430846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-384-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 TEXAS AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353453",
            "telephone_number": "209-826-1045",
            "fax_number": "209-384-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROEHLK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "ADM. ASSIST. CREDENTIALING",
        "authorized_official_telephone_number": "209-385-5434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDP",
            "identifier": "BCP03901F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

All providers in Los Banos, CA · Medical Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.