NPIMap

Golden Valley Health Center

Organization Active NPI Federally Qualified Health Center (FQHC) · Merced, CA

NPI 1528042512 · NPPES record last updated Feb 26, 2026

Key facts

NPI
1528042512
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
040000300 (CA)
Legal business name
GOLDEN VALLEY HEALTH CENTER
Practice address
797 W Childs Ave
Merced, CA 95341-6805
Phone
(209) 383-5871
Fax
(209) 383-1402
NPI assigned
Dec 2, 2005
Organization subpart
No

Authorized official

Name
David Quackenbush
Title
Ceo and President
Phone
(209) 913-2261

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

Practitioners 114

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

View all 114

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Federally qualified health center certification: CCN 051873

Legal name
GOLDEN VALLEY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1992
Last certification
Oct 1, 1992
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Nov 14, 1974 in CA
Enrollment address
797 W Childs Ave
Merced, CA 95341-6805

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gurjeet Sandhu
Individual 		Corporate Officer
VP and Chief Financial Officer		 Jun 23, 2003
W-2 Managing Employee
VP and Chief Financial Officer		 Jun 23, 2003
Robert Bernard Anderson
Individual 		Corporate Director
Board Member		 Mar 1, 2016
David Ray Carr
Individual 		Corporate Director
Board Member		 Sep 8, 2022
David Quackenbush
Individual 		Corporate Officer
President and Ceo		 May 1, 2024
Corporate Director
President and Ceo		 May 1, 2024
Operational/Managerial Control
President and Ceo		 May 1, 2024
Keshava David Kamins
Individual 		Corporate Director
Board Member		 Mar 9, 2023
Tamara Ramaine Cobb
Individual 		Corporate Director
Board Member		 Oct 11, 2018
Ernesto Martin Gomez
Individual 		Corporate Director
Board Member		 Feb 1, 2016
Tricia Forshey
Individual 		W-2 Managing Employee
Senior Credentialing Specialist		 Apr 26, 2021
Maria Rafela Vargas-Perez
Individual 		Corporate Director
Board Member		 Sep 1, 2012
John Edward Price
Individual 		Corporate Director
Treasurer Board Member		 Jul 1, 1986 8%
Maria Rosales
Individual 		Corporate Director
Board Member		 Aug 13, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040128000641 CA Part B Supplier - Clinic/Group Practice 4183527187 Receives reassigned benefits from 494 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Modesto, CA; Manteca, CA; Newman, CA; Patterson, CA; Planada, CA; Riverbank, CA; Turlock, CA; Westley, CA…
O20111227000805 CA Part a Provider - Federally Qualified Health Center (FQHC) 4183527187 Practice locations: Merced, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 040000300 CA Yes

Addresses

Primary practice location

797 W Childs Ave
Merced, CA 95341-6805

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 722-4842

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2026.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1528042512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167",
            "telephone_number": "209-722-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-383-5871",
            "fax_number": "209-383-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "209-913-2261"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "040000300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

All providers in Merced, CA · Federally Qualified Health Center (FQHC) in California

Sources for this page

Verify at the official NPI Registry.