NPIMap

Organization Active NPI

Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
National Provider Identifier
1487867503
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
030000278 Issued in CA
Legal business name
GOLDEN VALLEY HEALTH CENTER
Practice address
1114 6TH St
Modesto, CA 95354-2203
Phone
(209) 576-2845
Fax
(209) 573-8842
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Mr. Tony Weber
Title
Ceo
Phone
(209) 384-6493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 030000278 CA Primary

Addresses

Primary practice location

1114 6TH St
Modesto, CA 95354-2203

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 384-6493

Other identifiers 1

IdentifierTypeStateIssuer
FHC70062GMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Golden Valley HLTH CT96 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1920 Memorial Dr
Ceres, CA 95307
Phone (209) 538-1096

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

302 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

1524 McHenry Ave
Ste 565
Modesto, CA 95350

1510 Florida Ave
Ste F
Modesto, CA 95350
Phone (209) 549-7090

209 Kerr Ave
Modesto, CA 95354
Phone (209) 576-6766

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

1510 Florida Ave
Ste B
Modesto, CA 95350
Phone (209) 574-1365

1510 Florida Ave
Ste H
Modesto, CA 95350
Phone (209) 574-1030

200 C St
Patterson, CA 95363
Phone (209) 892-6307

2509 W March Ln
Ste 150
Stockton, CA 95207
Phone (209) 888-8602

1100 Delbon Ave
Turlock, CA 95382
Phone (209) 667-0905

1199 Delbon Ave
Ste 2
Turlock, CA 95382
Phone (209) 667-0905

1141 N Olive Ave
Turlock, CA 95380
Phone (209) 667-2749

Practitioners & affiliated clinicians

Practitioners 276

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

View all 276

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1487867503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-384-6493",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 6TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542203",
            "telephone_number": "209-576-2845",
            "fax_number": "209-573-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-384-6493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "030000278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70062G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.