GOLDEN STATE PRIMARY CARE INC – NPI #1124987201
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GOLDEN STATE PRIMARY CARE INC is a provider located in FONTANA, CA. NPPES has assigned the NPI number 1124987201 to GOLDEN STATE PRIMARY CARE INC on January 15, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 10 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 STATE PRIMARY CARE INC below.

NPI Profile for
GOLDEN STATE PRIMARY CARE INC

NPI Number
1124987201
Enumeration Date

(about 5 months 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 STATE PRIMARY CARE INC
Primary location
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336-1242
Phone: (909) 823-8000 Fax: (909) 823-8088
10 Other location(s):
18523 Corwin Rd Ste H
Apple Valley, CA 92307-2300
Phone: (760) 242-3005
Fax: (760) 503-1375
16854 Ivy Ave Ste A
Fontana, CA 92335-1504
Phone: (909) 791-1000
Fax: (909) 781-6000
603 E Latham Ave Ste A
Hemet, CA 92543-4342
Phone: (951) 502-3500
Fax: (951) 502-3400
4240 Highland Ave
Highland, CA 92346-2764
Phone: (909) 674-1900
Fax: (909) 735-4200
1684 Plum Ln Ste 101
Redlands, CA 92374-2866
Phone: (909) 798-5599
Fax: (909) 798-5595
2150 N Waterman Ave Ste 202
San Bernardino, CA 92404-4811
Phone: (909) 674-1600
Fax: (909) 674-1800
811 E 11th St Ste 201
Upland, CA 91786-4872
Phone: (909) 985-0883
Fax: (909) 985-5762
811 E 11th St Ste 208
Upland, CA 91786-4872
Phone: (909) 493-7410
Fax: (909) 766-9410
15237 Eleventh St Ste A
Victorville, CA 92395-3736
Phone: (760) 662-7420
Fax: (760) 513-9000
15237 Eleventh St Ste C
Victorville, CA 92395-3736
Phone: (760) 493-9300
Fax: (760) 493-9400
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NAMITA MOHIDEEN
CEO
Phone: (909) 823-8000
Updated
Certification Date
Jan 15, 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.

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.

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.