Organization Active NPI

Golden Oak Medical Group Inc

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1790424711
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLDEN OAK MEDICAL GROUP INC
Practice address
25485 Medical Center Dr Ste 200
Murrieta, CA 92562-6927
Phone
(951) 698-8821
Fax
(888) 694-2509
NPI assigned
May 27, 2022
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Stephanie Laning
Title
Contracting & Credentialing
Phone
(951) 791-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

25485 Medical Center Dr Ste 200
Murrieta, CA 92562-6927

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908003169 CA Part B Supplier - Clinic/Group Practice 3779967849 Receives reassigned benefits from 2 practitioners
Practice locations: Wildomar, CA

National Provider Directory

National Provider Directory

Locations

36243 Inland Valley Dr
Ste 160
Wildomar, CA 92595
Phone (951) 698-8821

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1790424711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "888-856-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-698-8821",
            "fax_number": "888-694-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAK MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "LANING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING",
        "authorized_official_telephone_number": "951-791-1111"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.