Active NPI
Donald Eric Golden, M.D
- Family Medicine Physician
- Atwater, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A72192
- Practice address
- 1775 3Rd St
Atwater, CA 95301-3608 - Phone
- (209) 358-5611
- Fax
- (209) 358-0219
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A72192 | CA | |
| Emergency Medicine Physician | 207P00000X | A72192 | CA | |
| Family Medicine Physician | 207Q00000X | A72192 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A72192 | CA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A72192 | CA | |
| General Practice Physician | 208D00000X | A72192 | CA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A72192 | CA |
Addresses
Primary practice location
1775 3Rd St
Atwater, CA 95301-3608
Mailing address
1775 3Rd St
Atwater, CA 95301-3608
Phone (209) 358-5611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A721920 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of California, Geffen School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9925 International Blvd
Suite 5
Oakland, CA 94603-2558
Phone (510) 777-1177
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72192 | CA | MD | Pharmacist |
| A72192 | CA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Roots Community Health Center | Past | Accepting new patients |
Locations
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dgolden16043@alamedahs.direct-ci.com
- dgolden91377@santaclaravalley.direct-ci.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Oakland, CA
- NPI 1083858823
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
-
- Hospitalist Physician
- San Leandro, CA
- NPI 1235468562
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Primary Care Clinic/Center
- Oakland, CA
- NPI 1932663853
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palmeira Home Health
- Home Health Agency
- San Francisco, CA
- NPI 1417441361
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1942224811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 3RD ST",
"city": "ATWATER",
"state": "CA",
"postal_code": "953013608",
"telephone_number": "209-358-5611",
"fax_number": "209-358-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 3RD ST",
"city": "ATWATER",
"state": "CA",
"postal_code": "953013608",
"telephone_number": "209-358-5611",
"fax_number": "209-358-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "DONALD",
"middle_name": "ERIC",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A72192",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A72192",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A72192",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A72192",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A72192",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A72192",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A72192",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A721920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.