Golden Valley Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Dos Palos, CA
NPI 1770567778 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1770567778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 040000231 (CA)
- Legal business name
- GOLDEN VALLEY HEALTH CENTER
- Practice address
- 1405 California Ave
Dos Palos, CA 93620-2300 - Phone
- (209) 392-2111
- Fax
- (209) 392-2850
- 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
Practitioners 110
-
Husam A Abdulnour, M.D
-
John Estamo Abordo, DPM
-
Shruti Agarwal, MD
-
Bassam Aljomard, MD
-
Allison Gapasin Arquero, M.D.
-
Erica Maria Avila, APRN PMHNP-BC
-
Dante Manalo Baes, M.D
-
Parveen Bajwa, FNP
-
Manpreet Kaur Brar, DPM
-
Melody Jean Castillo, CNM, FNP
-
Richard Z Chen, DMD
-
Erica Choi, WHNP
-
Jordan Combs, DDS
-
Christopher P. Costa, M.D.
-
Anna Maria Diaz, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 051864
- 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
- 1405 California Ave
Dos Palos, CA 93620-2300
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Gurjeet Sandhu |
Corporate Officer |
Jun 23, 2003 | |
| W-2 Managing Employee |
Jun 23, 2003 | ||
| Robert Bernard Anderson |
Corporate Director |
Mar 1, 2016 | |
| David Ray Carr |
Corporate Director |
Sep 8, 2022 | |
| David Quackenbush |
Corporate Officer |
May 1, 2024 | |
| Corporate Director |
May 1, 2024 | ||
| Operational/Managerial Control |
May 1, 2024 | ||
| Keshava David Kamins |
Corporate Director |
Mar 9, 2023 | |
| Tamara Ramaine Cobb |
Corporate Director |
Oct 11, 2018 | |
| Ernesto Martin Gomez |
Corporate Director |
Feb 1, 2016 | |
| Tricia Forshey |
W-2 Managing Employee |
Apr 26, 2021 | |
| Maria Rafela Vargas-Perez |
Corporate Director |
Sep 1, 2012 | |
| John Edward Price |
Corporate Director |
Jul 1, 1986 | |
| Maria Rosales |
Corporate Director |
Aug 13, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20101105001259 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 4183527187 | Practice locations: Dos Palos, CA |
National Provider Directory
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 040000231 | CA | Yes |
Addresses
Primary practice location
1405 California Ave
Dos Palos, CA 93620-2300
Mailing address
1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 722-4842
Other providers in Dos Palos, CA
- Dos Palos Memorial Hospital, Inc
- Dos Palos-Oro Loma Jusd
- Chester Flakes Jr.
- Elizabeth Fonseca
- Alice Ruth Foster-Smith
- Golden Valley Health Center
- Golden Valley Health Centers
- Golden Valley Health Centers
- Golden Valley Health Centers
- Simone Marie Goncalves
All providers in Dos Palos, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.