Golden State Family Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOLDEN STATE FAMILY CLINIC

Practice address

5475 E la Palma Ave Ste 204
Anaheim, CA 92807-2075

Phone

(323) 264-2670

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Harold Tabaie, DO

Title

Ceo

Phone

(941) 290-0844

Specialties & licenses 1

Addresses

Tax ID family

Golden State Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Golden State Family Clinic

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1578345625
  NPD tax ID

Locations

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1124839139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "323-264-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "323-264-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "TABAIE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-290-0844",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Flower Manor, LLC
• Golden Hands Home Care LLC
• Golden Heart Staffing Inc.
• Golden Life Manor
• Golden Memories Senior Home LLC
• Golden Way Care, Inc
• Golden West Medical Center
• Golden West Medical Corporation
• Golden West Medical Corporation
• Golden West Radiology Medical Group

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.