GOLDEN VALLEY HEALTH CENTER – NPI #1730163734
Clinic/Center

GOLDEN VALLEY HEALTH CENTER is an AHC clinic located in LOS BANOS, CA. NPPES has assigned the NPI number 1730163734 to GOLDEN VALLEY HEALTH CENTER on December 02, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Feb 26, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLDEN VALLEY HEALTH CENTER below.

NPI Profile for
GOLDEN VALLEY HEALTH CENTER

NPI Number
1730163734
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOLDEN VALLEY HEALTH CENTER
Primary location
821 TEXAS AVE
LOS BANOS, CA 93635-3453
Phone: (209) 826-1045 Fax: (209) 826-0952
Mailing address
1910 CUSTOMER CARE WAY
ATWATER, CA 95301-5167
Phone: (209) 722-4842 Fax:
Organization Subpart
No
Authorized Official
DAVID QUACKENBUSH
CEO AND PRESIDENT
Phone: (209) 913-2261
Updated
Certification Date
Feb 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GOLDEN VALLEY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD OF CA GRP PINCAZZZ83386Z
OTHERSTATE OF CA LIC#CA040000215
MEDICAIDCAGR0086288
MEDICAIDCACMM03901F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 040000215

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.