Goldencrest Primary Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GOLDENCREST PRIMARY CARE

Practice address

225 W Hospitality LN Ste 207
San Bernardino, CA 92408-3245

Phone

(909) 751-4408

Fax

(909) 751-4407

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenelyn AlmonteNPI 1194211151

Title

Practice Owner

Phone

(909) 751-4408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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.

• Jenelyn Almonte, NP-C

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1194211151
  Medicare reassignment NPD Authorized official
• Elmer Fortin Abreu

  • Family Nurse Practitioner
  • Norwalk, CA
  • NPI 1114567898
  Medicare reassignment Care Compare group
• Frenalyn Bacate Domingo, NP

  • Nurse Practitioner
  • Grand Terrace, CA
  • NPI 1588685226
  Medicare reassignment Care Compare group
• Kathleen Bernice Mahony, F.N.P

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1023124294
  Medicare reassignment Care Compare group
• Catherine Domingo Oms, RN, PAC

  • Medical Physician Assistant
  • San Bernardino, CA
  • NPI 1982880795
  Medicare reassignment Care Compare group
• Nilo De Castro Reyes

  • Family Nurse Practitioner
  • Bellflower, CA
  • NPI 1770117020
  Medicare reassignment Care Compare group
• Vishal Govil, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1851751853
  Medicare reassignment NPD

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1437025004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN STE 207",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083245",
            "telephone_number": "909-751-4408",
            "fax_number": "909-751-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN STE 207",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083245",
            "telephone_number": "909-751-4408",
            "fax_number": "909-751-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENCREST PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "ALMONTE",
        "authorized_official_first_name": "JENELYN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "909-751-4408"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Godwin Abodoh (ABA Medical Supply)
• Iliya Goldberg, M.D.
• Golden Coast Mso, Inc.
• Golden Medical Services
• Golden Valley Medical & Oxygen Service
• Amir Hossen Golsorkhi, MD
• Samantha Golucino
• Dory Llamado Gomer
• Wilson Gomer, MD
• Christian Uriel Gomez Soberanis

• Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.