Individual provider Active NPI

Donald Eric Golden, M.D

  • Family Medicine Physician
  • Atwater, CA
National Provider Identifier
1942224811
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A72192 Issued in CA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A721920MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001095 CA Practitioner - General PracticePractitioner - Radiation OncologyPractitioner - Emergency Medicine 1456315365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Radiation Oncology
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Roots Community Health CenterGroup PAC ID 8022256007, 14 clinicians

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

LicenseStateTypeSpecialty
72192CAMDPharmacist
A72192CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jan 1, 2014 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Feb 23, 2020 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Jan 1, 2014 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

  • Direct secure messaging: dgolden16043@alamedahs.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.