Golden State Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOLDEN STATE CARE PC

Practice address

3150 G St Ste E
Merced, CA 95340-1346

Phone

(209) 575-4575

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jaspreet Nanra, MDNPI 1982055760

Title

Owner

Phone

(209) 575-4575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

• Jaspreet Singh Nanra, MD

  • Family Medicine Physician
  • Merced, CA
  • NPI 1982055760

  Single Specialty

  NPD (past) Authorized official
• Vikas Sablok, FNP

  • Family Nurse Practitioner
  • Merced, CA
  • NPI 1235874645
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1285380659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3091",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953533091",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 G ST STE E",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401346",
            "telephone_number": "209-575-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "NANRA",
        "authorized_official_first_name": "JASPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-575-4575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88-0617451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Merced, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.