GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
NPI 1366859449
Clinic/Center - Multi-Specialty in Moorpark, CA

Q: What is Golden State Providers, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since July 21, 2014

865 PATRIOT DR STE 203, MOORPARK, CA 93021(805) 370-4684(844) 748-4623 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2020, Sep 27, 2019, Jul 31, 2018 (3 updates tracked since 2018).

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About Golden State Providers, A Medical Corporation NPPES

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

GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION (NPI 1366859449) is a healthcare organization registered as a multi-specialty in Moorpark, California and active in the NPI registry since July 2014. The organization lists Saba Habis, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366859449

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameGOLDEN STATE PROVIDERS, A MEDICAL CORPORATION

Location Address865 PATRIOT DR STE 203Moorpark, CA 93021-3405

Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7600 · Fax (866) 346-1426

Phone(805) 370-4684

Fax(844) 748-4623

Organization SubpartNo

Authorized OfficialSaba HabisAuthorized Official · (805) 852-9100

Enumeration DateJuly 21, 2014

Last NPPES UpdateOctober 30, 20203 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1366859449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

865 PATRIOT DR STE 203, Moorpark, CA 93021

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden State Providers, A Medical Corporation's NPI number?

The NPI number for Golden State Providers, A Medical Corporation is 1366859449. It was assigned to this organization in the NPPES registry on July 21, 2014.

Where is Golden State Providers, A Medical Corporation located?

Golden State Providers, A Medical Corporation is located at 865 Patriot Dr Ste 203, Moorpark, CA 93021. The listed phone number is (805) 370-4684.

What is Golden State Providers, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Golden State Providers, A Medical Corporation was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.