Golden State Physicians Medical Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

GOLDEN STATE PHYSICIANS MEDICAL GROUP

Practice address

900 E Main St Ste 301
Grass Valley, CA 95945-5853

Phone

(530) 271-3200

Fax

(530) 274-6347

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Wong, M.D.

Title

President of the Board

Phone

(530) 271-3200

Specialties & licenses 1

Addresses

Practitioners 1

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

• Daniel John Bibelheimer, M.D.

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1255548079
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245386218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 301",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "530-271-3200",
            "fax_number": "530-274-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 301",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "530-271-3200",
            "fax_number": "530-274-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD",
        "authorized_official_telephone_number": "530-271-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Country Hospitalists, the Hospitalist Service, Inc.
• Gold Country Telecare, Inc
• Gold Hearth Holistic LLC
• Golden Empire Nursing & Rehab Center LP
• Golden State Physical Therapy Inc
• Bruce Eric Golder, DDS
• Miranda Goldfarb, LICSW
• Daniel L Goldsmith, M.D.
• Jennifer Gomes
• George Anthony Gonzales

• Health Maintenance Organization in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.