Provider Type Icon

GOLDEN VALLEY HEALTH CENTER NPI 1730163734


NPI Information

NPI: 1730163734
Provider Name: GOLDEN VALLEY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
821 TEXAS AVE
LOS BANOS, CA
ZIP 93635
Phone: (209) 826-1045
Get Directions

GOLDEN VALLEY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Los Banos, CA. GOLDEN VALLEY HEALTH CENTER NPI is 1730163734. The provider is registered as an organization entity type.

The provider's business location address is:

821 TEXAS AVE
LOS BANOS, CA
ZIP 93635-453
Phone: (209) 826-1045
Fax: (209) 826-0952

The provider's authorized official is Tony Weber .
The authorized official title is Ceo and has the following contact phone number (209) 384-6493.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 2/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)040000215CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1040000215OTHERCALIFORNIASTATE OF CA LIC#
2ZZZ83386ZOTHERCALIFORNIABLUE SHIELD OF CA GRP PIN
3CMM03901FMEDICAIDCALIFORNIA
4051866MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
5GR0086288MEDICAIDCALIFORNIA
6ZZZ83386ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.