GOLDEN STATE PRIMARY CARE INC
NPI 1124987201
General Practice in Fontana, CA

NPI Status: Active since January 15, 2026

Contact Information

16465 SIERRA LAKES PKWY STE 115
FONTANA, CA
ZIP 92336
Phone: (909) 823-8000
Fax: (909) 823-8088

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  • Organization
  • General Practice

About GOLDEN STATE PRIMARY CARE INC

This page provides the complete NPI Profile along with additional information for Golden State Primary Care Inc, a primary care provider established in Fontana, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1124987201 assigned on January 2026. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated January 2026. Golden State Primary Care Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Namita Mohideen Md (Ceo)

NPI
1124987201
Provider Name
GOLDEN STATE PRIMARY CARE INC
Entity Type
Organization
Location Address
16465 SIERRA LAKES PKWY STE 115 FONTANA, CA 92336
Location Phone
(909) 823-8000
Location Fax
(909) 823-8088
Mailing Address
16465 SIERRA LAKES PKWY STE 115 FONTANA, CA 92336
Mailing Phone
(909) 823-8000
Mailing Fax
(909) 823-8088
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2026
Last Update Date
01-15-2026
Code Navigator

A primary care provider (PCP) like Golden State Primary Care Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 15237 Eleventh St Ste C
    Victorville, CA 92395
    (760) 493-9300
  • 4240 Highland Ave
    Highland, CA 92346
    (909) 674-1900
  • 2150 N Waterman Ave Ste 202
    San Bernardino, CA 92404
    (909) 674-1600
  • 603 E Latham Ave Ste A
    Hemet, CA 92543
    (951) 502-3500
  • 1684 Plum Ln Ste 101
    Redlands, CA 92374
    (909) 798-5599
  • 16854 Ivy Ave Ste A
    Fontana, CA 92335
    (909) 791-1000
  • 811 E 11th St Ste 201
    Upland, CA 91786
    (909) 985-0883
  • 811 E 11th St Ste 208
    Upland, CA 91786
    (909) 493-7410
  • 15237 Eleventh St Ste A
    Victorville, CA 92395
    (760) 662-7420
  • 18523 Corwin Rd Ste H
    Apple Valley, CA 92307
    (760) 242-3005

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NAMITA MOHIDEEN MD

Authorized Official Title
CEO
Authorized Official Phone
(909) 823-8000

Reviews for GOLDEN STATE PRIMARY CARE INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124987201, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 9 → 18 → 9 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 8 + 8 + 1 + 4 + 2 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124987201.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Pediatrics
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Family Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Clinic/Center (Primary Care)
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Community Health Worker
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Nurse Practitioner
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Physician Assistant
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Family Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Pediatrics
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Community Health Worker
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
Internal Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124987201, enumerated as an "organization" on January 15, 2026.

The provider is located at 16465 SIERRA LAKES PKWY STE 115 FONTANA, CA 92336 and the phone number is (909) 823-8000.

General Practice with taxonomy code 208D00000X.