NPIMap

Organization Active NPI

Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
National Provider Identifier
1114434552
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GOLDEN VALLEY HEALTH CENTERS
Practice address
2240 W Monte Vista Ave
Turlock, CA 95382-9667
Phone
(209) 667-1270
Fax
(209) 667-1269
NPI assigned
Jan 8, 2018
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
David Quackenbush
Title
Ceo
Phone
(209) 913-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

2240 W Monte Vista Ave
Turlock, CA 95382-9667

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 722-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000641 CA Part B Supplier - Clinic/Group Practice 4183527187 Receives reassigned benefits from 494 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Modesto, CA; Manteca, CA; Newman, CA; Patterson, CA; Planada, CA; Riverbank, CA; Turlock, CA; Westley, CA…
O20180524001129 CA Part A Provider - Federally Qualified Health Center (FQHC) 4183527187 Practice locations: Turlock, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114434552. Details of each certification follow.

Federally qualified health center certification: CCN 921112

Legal name
GOLDEN VALLEY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 14, 2018
Last certification
May 14, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 7, 1973 in CA
Enrollment address
2240 W Monte Vista Ave
Turlock, CA 95382-9667

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory

Locations

3109 E Whitmore Ave
Ceres, CA 95307
Phone (209) 541-2929

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gurjeet Sandhu Individual Corporate OfficerExec VP and Deputy Ceo Jun 23, 2003
W-2 Managing EmployeeExecutive VP and Deputy Ceo Jun 23, 2003
Robert Bernard Anderson Individual Corporate DirectorBoard Member Mar 1, 2016
David Ray Carr Individual Corporate DirectorBoard Member Sep 8, 2022
David Quackenbush Individual Corporate OfficerPresident and Ceo May 1, 2024
Corporate DirectorPresident and Ceo May 1, 2024
Operational/Managerial ControlPresident and Ceo May 1, 2024
Keshava David Kamins Individual Corporate DirectorBoard Member Mar 9, 2023
Tamara Ramaine Cobb Individual Corporate DirectorBoard Member Oct 11, 2018
Ernesto Martin Gomez Individual Corporate DirectorBoard Member Feb 1, 2016
Tricia Forshey Individual W-2 Managing EmployeeSenior Credentialing Specialist Apr 26, 2021
Francisco Deleon Guerrero Individual Corporate DirectorBoard Member Jul 11, 2024
Maria Rafela Vargas-Perez Individual Corporate DirectorBoard Member Sep 1, 2012
Martina Giselle Ramirez Individual Corporate DirectorBoard Member Jul 11, 2024
John Edward Price Individual Corporate DirectorBoard Member Jul 1, 1986
Maria Rosales Individual Corporate DirectorBoard Member Aug 13, 2015

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1114434552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167",
            "telephone_number": "209-722-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829667",
            "telephone_number": "209-667-1270",
            "fax_number": "209-667-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-913-2261"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.