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GOLDEN GATE FAMILY CLINIC
NPI 1598934838
Family Medicine in Naples, FL

Active since February 20, 2008CLIA 10D2006648 · Waiver
5475 GOLDEN GATE PKWY, SUITE # 7, NAPLES, FL 34116(239) 775-3100(239) 775-3107 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Golden Gate Family Clinic NPPES

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

GOLDEN GATE FAMILY CLINIC (NPI 1598934838) is a healthcare organization registered as a family medicine in Naples, Florida and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Vava Y. Nyanudor, President, as its authorized official.

NPPES Registry Identity

NPI1598934838
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOLDEN GATE FAMILY CLINIC
Location Address5475 GOLDEN GATE PKWY, SUITE # 7Naples, FL 34116-7529
Mailing Address5475 Golden Gate Pkwy, Suite # 7Naples, FL 34116-7529 · (239) 775-3100 · Fax (239) 775-3107
Phone(239) 775-3100
Fax(239) 775-3107
Organization SubpartNo
Authorized OfficialVava Y. NyanudorPresident · (239) 775-3100
Enumeration DateFebruary 20, 2008
Last NPPES UpdateSeptember 5, 2008
✔ NPI 1598934838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME74588
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5475 GOLDEN GATE PKWY, Naples, FL 34116
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gate Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Golden Gate Family Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vava Nyanudor, M.D.
Family Practice
NPI 1104922053
5262 GOLDEN GATE PKWY
Naples, FL 34116
(239) 353-4101
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2006648

Golden Gate Family Clinic · Naples, FL
Active · expires Apr 26, 2028
CLIA Number10D2006648
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorVava Yao Nyanudor
Laboratory Phone(239) 775-3100
Laboratory LocationGolden Gate Family Clinic5475 Golden Gate Pkwy Ste 7, Naples, FL 34116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gate Family Clinic's NPI number?

The NPI number for Golden Gate Family Clinic is 1598934838. It was assigned to this organization in the NPPES registry on February 20, 2008.

Where is Golden Gate Family Clinic located?

Golden Gate Family Clinic is located at 5475 Golden Gate Pkwy Suite # 7, Naples, FL 34116. The listed phone number is (239) 775-3100.

What is Golden Gate Family Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Golden Gate Family Clinic enrolled in Medicare?

Yes. Golden Gate Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden Gate Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Golden Gate Family Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Golden Gate Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2006648) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden Gate Family Clinic was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.