GOLD COUNTRY HEALTH INITIATIVE, LLC
NPI 1932666575
Family Medicine - Addiction Medicine in Jackson, CA

Active since March 01, 2019
820/830 STATE HIGHWAY 88, JACKSON, CA 95642(209) 610-1524 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2019, Mar 1, 2019 (2 updates tracked since 2019).

About Gold Country Health Initiative, Llc NPPES

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

GOLD COUNTRY HEALTH INITIATIVE, LLC (NPI 1932666575) is a healthcare organization registered as an addiction medicine in Jackson, California and active in the NPI registry since March 2019. The organization maintains a secondary practice location in Jackson and lists Ernest Vasti, Owner, as its authorized official.

NPPES Registry Identity

NPI1932666575
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGOLD COUNTRY HEALTH INITIATIVE, LLC
Location Address820/830 STATE HIGHWAY 88Jackson, CA 95642
Mailing AddressPo Box 4057Stockton, CA 95204-0057
Organization SubpartNo
Authorized OfficialErnest VastiOwner · (209) 610-1524
Enumeration DateMarch 1, 2019
Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration
NPI 1932666575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

820/830 STATE HIGHWAY 88, Jackson, CA 95642

Secondary Practice Location 1

Location 1830 State Highway 88Jackson, CA 95642 · Phone (209) 610-1524

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

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
820/830 STATE HIGHWAY 88
JACKSON, CA 95642

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 Gold Country Health Initiative, LLC's NPI number?

The NPI number for Gold Country Health Initiative, LLC is 1932666575. It was assigned to this organization in the NPPES registry on March 1, 2019.

Where is Gold Country Health Initiative, LLC located?

Gold Country Health Initiative, LLC is located at 820/830 State Highway 88, Jackson, CA 95642. The listed phone number is (209) 610-1524.

What is Gold Country Health Initiative, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Gold Country Health Initiative, LLC was last updated on December 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.