What is Golden State Primary Care Inc's NPI number?

Golden State Primary Care Inc's National Provider Identifier (NPI) is 1124987201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Golden State Primary Care Inc?

Golden State Primary Care Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Golden State Primary Care Inc located?

Golden State Primary Care Inc's practice location on file with NPPES is 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242.

What is Golden State Primary Care Inc's phone number?

The practice phone number listed in the NPPES registry for Golden State Primary Care Inc is (909) 823-8000.

Who is the authorized official for Golden State Primary Care Inc?

The authorized official listed on Golden State Primary Care Inc's NPPES record is Namita Mohideen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Golden State Primary Care Inc's NPI active?

Yes — Golden State Primary Care Inc's NPI (1124987201) is active in the NPPES registry as of the last update on 2026-01-15.

OrganizationActive

Golden State Primary Care Inc

NPI 1124987201 · General Practice Physician · Fontana, CA

Golden State Primary Care Inc is a General Practice Physician organization in Fontana, CA (NPI 1124987201).

Provider details

NPI number: 1124987201
Entity type: Organization
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Namita Mohideen, Ceo(909) 823-8000

Specialties & taxonomies

General Practice PhysicianPrimary208D00000X
Allopathic & Osteopathic Physicians
Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
11 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16465 Sierra Lakes Pkwy Ste 115

Fontana, CA 92336-1242

Phone: (909) 823-8000

Fax: (909) 823-8088

Street-level locationGet directions

More CA providers

Mailing address

16465 Sierra Lakes Pkwy Ste 115

Fontana, CA 92336-1242

Additional practice locations (10)

18523 Corwin Rd Ste H
Apple Valley, CA 92307-2300
Phone: (760) 242-3005
Fax: (760) 503-1375
16854 Ivy Ave Ste a
Fontana, CA 92335-1504
Phone: (909) 791-1000
Fax: (909) 781-6000
603 E Latham Ave Ste a
Hemet, CA 92543-4342
Phone: (951) 502-3500
Fax: (951) 502-3400
4240 Highland Ave
Highland, CA 92346-2764
Phone: (909) 674-1900
Fax: (909) 735-4200
1684 Plum Ln Ste 101
Redlands, CA 92374-2866
Phone: (909) 798-5599
Fax: (909) 798-5595
2150 N Waterman Ave Ste 202
San Bernardino, CA 92404-4811
Phone: (909) 674-1600
Fax: (909) 674-1800
811 E 11th St Ste 201
Upland, CA 91786-4872
Phone: (909) 985-0883
Fax: (909) 985-5762
811 E 11th St Ste 208
Upland, CA 91786-4872

Enumerated: 2026-01-15
Last updated: 2026-01-15
Certified: 2026-01-15

Frequently asked questions

What is Golden State Primary Care Inc's NPI number?: Golden State Primary Care Inc's National Provider Identifier (NPI) is 1124987201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Golden State Primary Care Inc?: Golden State Primary Care Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
Where is Golden State Primary Care Inc located?: Golden State Primary Care Inc's practice location on file with NPPES is 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242.
What is Golden State Primary Care Inc's phone number?: The practice phone number listed in the NPPES registry for Golden State Primary Care Inc is (909) 823-8000.
Who is the authorized official for Golden State Primary Care Inc?: The authorized official listed on Golden State Primary Care Inc's NPPES record is Namita Mohideen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Golden State Primary Care Inc's NPI active?: Yes — Golden State Primary Care Inc's NPI (1124987201) is active in the NPPES registry as of the last update on 2026-01-15.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.