GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
NPI 1366859449
Clinic/Center - Multi-Specialty in Moorpark, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Golden State Providers, A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Golden State Providers, A Medical Corporation, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Golden State Providers, A Medical Corporation enrolled in Medicare?
Yes. Golden State Providers, A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Golden State Providers, A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 14 Medicare specialties reassign their Medicare billing to Golden State Providers, A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (20), Nurse Practitioner (4) and Cardiac Surgery (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 6 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.
# Golden State Providers, A Medical Corporation · NPI 1366859449
Multi-Specialty organization in Moorpark, California. Organization record, active in the CMS NPPES registry since July 21, 2014.
## Identity
- **NPI:** 1366859449 (Entity type: Organization)
- **Enumerated:** July 21, 2014
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Saba Habis, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 865 PATRIOT DR STE 203, Moorpark, CA 93021-3405
- **Phone:** (805) 370-4684 · **Fax:** (844) 748-4623
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (20), Nurse Practitioner (4), Cardiac Surgery (3); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1366859449/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1366859449) · Data from the CMS NPPES public registry.