NPIMap

Organization Active NPI

Joseph M Molina MD Professional Corporation - Southern California

Doing business as Golden Shore Medical Group

  • Obstetrics & Gynecology Physician
  • Ontario, CA
National Provider Identifier
1710478177
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA
Doing business as
Golden Shore Medical Group
Practice address
1151 E Walnut St
Ontario, CA 91761
Phone
(909) 467-0797
Fax
(877) 778-8097
NPI assigned
May 22, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Karen Henkenius
Title
Manager
Phone
(626) 346-1239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1151 E Walnut St
Ontario, CA 91761

Mailing address

625 Fair Oaks Ave Ste 270
South Pasadena, CA 91030-5801
Phone (626) 346-2455

Other names 2

  • Golden Shore Medical Group Doing business as
  • Golden Shore Medical Obstetrics Other name

National Provider Directory

National Provider Directory

Locations

7777 Sunrise Blvd
Citrus Heights, CA 95610
Phone (916) 722-2227

1181 N Mount Vernon Ave
Colton, CA 92324
Phone (909) 428-0170

107 N McKinley St
Corona, CA 92879
Phone (951) 358-0141

17500 Foothill Blvd
Ste A2
Fontana, CA 92335
Phone (909) 428-0170

1900 Atlantic Ave
Long Beach, CA 90806
Phone (562) 218-9530

24853 Alessandro Blvd
Ste 4
Moreno Valley, CA 92553
Phone (951) 571-8518

1650 S Euclid Ave
Ontario, CA 91762
Phone (909) 391-4138

790 E Foothill Blvd
#D
Rialto, CA 92376
Phone (909) 546-7135

1409 S State St
#M
Orem, UT 84097
Phone (385) 225-3422

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1710478177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 270",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305801",
            "telephone_number": "626-346-2455",
            "fax_number": "626-639-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E WALNUT ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91761",
            "telephone_number": "909-467-0797",
            "fax_number": "877-778-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HENKENIUS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-346-1239"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Shore Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Shore Medical Obstetrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.