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GOLDEN VALLEY MEDICAL ASSOCIATES INC. NPI 1295756310


NPI Information

NPI: 1295756310
Provider Name: GOLDEN VALLEY MEDICAL ASSOCIATES, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0861068

Address:
4813 COFFEE RD
#200
BAKERSFIELD, CA
ZIP 93308
Phone: (661) 664-0252
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GOLDEN VALLEY MEDICAL ASSOCIATES, INC. is a family medicine in Bakersfield, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOLDEN VALLEY MEDICAL ASSOCIATES, INC. NPI is 1295756310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4813 COFFEE RD
#200
BAKERSFIELD, CA
ZIP 93308-472
Phone: (661) 664-0252
Fax: (661) 664-2717

The provider's authorized official is Calvin J. Kubo .
The authorized official title is Owner and has the following contact phone number (661) 664-0252.

The CLIA number assigned to this NPI record is 05D0861068 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/17/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363LF0000XNurse PractitionerFamilyNo
3207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ25181ZOTHERCALIFORNIAMEDICARE GROUP #

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: 11/14/2023

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