NPIMap

Organization Active NPI

Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Merced, CA
National Provider Identifier
1710124524
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
550000688 Issued in CA
Legal business name
GOLDEN VALLEY HEALTH CENTER
Practice address
737 W Childs Ave
Merced, CA 95341-6805
Phone
(209) 384-6493
Fax
(209) 383-1296
NPI assigned
Jan 15, 2009
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
GOLDEN VALLEY HEALTH CENTERSAs reported in NPPES

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
Tony Weber
Title
Ceo
Phone
(209) 384-6493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550000688 CA Primary

Addresses

Primary practice location

737 W Childs Ave
Merced, CA 95341-6805

Mailing address

2101 Tenaya Dr
Modesto, CA 95354-3930
Phone (209) 576-6766

National Provider Directory

National Provider Directory
Tax ID family
Modesto Medical CLN96 organizations share this tax ID, including this one
Part of
Modesto Medical CLN

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

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1710124524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 TENAYA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543930",
            "telephone_number": "209-576-6766",
            "fax_number": "209-576-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN VALLEY HEALTH CENTERS",
        "enumeration_date": "2009-01-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, 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.