Golden State Primary Care INC
General Practice in Fontana, CA. Organization (NPI-2).
Details
- NPI
- 1124987201
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden State Primary Care INC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2026
- Certification date
- Jan 15, 2026
- Last updated
- Jan 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Practice location
16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242
Phone 909-823-8000 · Fax 909-823-8088
Mailing address
16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242
Phone 909-823-8000 · Fax 909-823-8088
Other practice locations
Apple Valley, CA 92307-2300
Phone 760-242-3005 · Fax 760-503-1375
Victorville, CA 92395-3736
Phone 760-662-7420 · Fax 760-513-9000
Upland, CA 91786-4872
Phone 909-493-7410 · Fax 909-766-9410
Upland, CA 91786-4872
Phone 909-985-0883 · Fax 909-985-5762
Fontana, CA 92335-1504
Phone 909-791-1000 · Fax 909-781-6000
Redlands, CA 92374-2866
Phone 909-798-5599 · Fax 909-798-5595
Hemet, CA 92543-4342
Phone 951-502-3500 · Fax 951-502-3400
San Bernardino, CA 92404-4811
Phone 909-674-1600 · Fax 909-674-1800
Highland, CA 92346-2764
Phone 909-674-1900 · Fax 909-735-4200
Victorville, CA 92395-3736
Phone 760-493-9300 · Fax 760-493-9400
Authorized official
Namita Mohideen
Ceo
9098238000
Is something wrong?
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All 6 General Practice Physician providers in Fontana · All 3,550 providers in Fontana
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