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

Q: What is Golden State Primary Care Inc's NPI number?

The NPI number for Golden State Primary Care Inc is 1124987201. It was assigned to this organization in the NPPES registry on January 15, 2026.

Q: What is Golden State Primary Care Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 15, 2026

16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 92336(909) 823-8000(909) 823-8088 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Golden State Primary Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN STATE PRIMARY CARE INC (NPI 1124987201) is a healthcare organization registered as a general practice in Fontana, California and active in the NPI registry since January 2026. The organization maintains 10 additional practice locations and lists Namita Mohideen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124987201

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameGOLDEN STATE PRIMARY CARE INC

Location Address16465 SIERRA LAKES PKWY STE 115Fontana, CA 92336-1242

Mailing Address16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242 · (909) 823-8000 · Fax (909) 823-8088

Phone(909) 823-8000

Fax(909) 823-8088

Organization SubpartNo

Authorized OfficialNamita MohideenCeo · (909) 823-8000

Enumeration DateJanuary 15, 2026

NPPES CertifiedJanuary 15, 2026

✔ NPI 1124987201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

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

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

16465 SIERRA LAKES PKWY STE 115, Fontana, CA 92336

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Secondary Practice Locations 10

Location 12150 N Waterman Ave Ste 202San Bernardino, CA 92404-4811 · Phone (909) 674-1600 · Fax (909) 674-1800

Location 24240 Highland AveHighland, CA 92346-2764 · Phone (909) 674-1900 · Fax (909) 735-4200

Location 315237 Eleventh St Ste CVictorville, CA 92395-3736 · Phone (760) 493-9300 · Fax (760) 493-9400

Location 4811 E 11th St Ste 208Upland, CA 91786-4872 · Phone (909) 493-7410 · Fax (909) 766-9410

Location 5603 E Latham Ave Ste AHemet, CA 92543-4342 · Phone (951) 502-3500 · Fax (951) 502-3400

Location 6811 E 11th St Ste 201Upland, CA 91786-4872 · Phone (909) 985-0883 · Fax (909) 985-5762

Location 716854 Ivy Ave Ste AFontana, CA 92335-1504 · Phone (909) 791-1000 · Fax (909) 781-6000

Location 81684 Plum Ln Ste 101Redlands, CA 92374-2866 · Phone (909) 798-5599 · Fax (909) 798-5595

Location 918523 Corwin Rd Ste HApple Valley, CA 92307-2300 · Phone (760) 242-3005 · Fax (760) 503-1375

Location 1015237 Eleventh St Ste AVictorville, CA 92395-3736 · Phone (760) 662-7420 · Fax (760) 513-9000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YARELI RENOVATO MA

Community Health Worker