Individual provider Active NPI

Otashe Golden, M.D.

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1508891797
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70035 Issued in CA
Practice address
1441 Florida Ave
Modesto, CA 95350-4404
Phone
(209) 576-3525
Fax
(209) 576-3544
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 293752 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 207RH0002X CA
Family Medicine Physician 207Q00000X A70035 CA Primary

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

1700 McHenry Ave Ste 65B
Modesto, CA 95350-4333
Phone (209) 579-5628

Other practice location 1

9098 Laguna Main St
Suite 6
Elk Grove, CA 95758-7449
Phone (916) 691-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, NY, DE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060807000240 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9436152774 Reassigns benefits to 6 organizations
I20151002001451 VA Practitioner - Family Practice 9436152774 Reassigns benefits to 1 organization
I20181106001066 NY Practitioner - Hospice/Palliative Care 9436152774 Reassigns benefits to 2 organizations
I20260611004024 DE Practitioner - Family Practice 9436152774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians
Otashe Golden MD IncGroup PAC ID 4880021393, 5 clinicians
United Health Services Hospitals, Inc.Group PAC ID 5193610533, 471 clinicians

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525

256 W 136TH St
Apt 4
New York, NY 10030-2652
Phone (866) 671-7772

507 Main St
Johnson City, NY 13790-1810
Phone (607) 763-8008

5313 Tudor Rose GLN
Morada, CA 95212-9277
Phone (866) 671-7772

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

Hospital & facility affiliations

  • Interim Healthcare of Central California Home health agency, Modesto, CA, CCN 557171
  • American Hospice and Home Health Care Services Inc Home health agency, Pleasanton, CA, CCN 059510
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Delta Oaks Post Acute Nursing home, Stockton, CA, CCN 055735
  • Crystal Creek Post-Acute Nursing home, Stockton, CA, CCN 555470
  • Modesto Post Acute Center Nursing home, Modesto, CA, CCN 055849

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
46.95
Improvement activities
40
Cost
76.49

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70035CAMDFamily Medicine Physician
293752NYMDFamily Medicine Physician
207RH0002XCAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otashe Golden, MD, Inc. Family Medicine CurrentSince Oct 5, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 24, 2017 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jul 24, 2017 Accepting new patients
Hospitalists of Modesto Medical Group Inc CurrentSince May 20, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jun 30, 2024 Accepting new patients
California Primary Care Medical Group, Inc. PastSince Jul 1, 2009 Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients
California Hospitalist Physicians Inc PastSince Jul 1, 2008 Accepting new patients
California Minute Clinic Inc PastSince Apr 15, 2011 Accepting new patients

Locations (25 of 35)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

9098 Laguna Main St
Ste 6
Elk Grove, CA 95758
Phone (916) 385-5540

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

144 F St
Galt, CA 95632
Phone (209) 745-1537

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

17 Louie Ave
Lodi, CA 95240
Phone (209) 369-8282

1321 S Fairmont Ave
Lodi, CA 95240
Phone (209) 334-3436

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1400 Celeste Dr
Modesto, CA 95355
Phone (209) 526-8050

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

2030 Evergreen Ave
Modesto, CA 95350
Phone (209) 577-1055

159 E Orangeburg Ave
Modesto, CA 95350
Phone (209) 526-2811

1009 Carver Rd
Modesto, CA 95350

3800 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1090 Rio Ln
Sacramento, CA 95822
Phone (916) 446-2506

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

10904 Trinity Pkwy
Ste C271
Stockton, CA 95219

9289 Branstetter Pl
Stockton, CA 95209
Phone (209) 477-5252

Interoperability endpoints

  • Direct secure messaging: otashe.golden@831423838093316.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delta Oaks Post AcuteStockton, CA, CCN 055735 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2024
Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508891797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVE STE 65B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504333",
            "telephone_number": "209-579-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504404",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9098 Laguna Main St",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587449",
            "country_code": "US",
            "telephone_number": "916-691-6780",
            "fax_number": "916-691-6799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "OTASHE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "293752",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "207RH0002X",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.