Golden State Primary Care Inc
NPI 1124987201 · General Practice Physician · Fontana, CA
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
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
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
Mailing address
Additional practice locations (10)
- 18523 Corwin Rd Ste HApple Valley, CA 92307-2300Phone: (760) 242-3005Fax: (760) 503-1375
- 16854 Ivy Ave Ste aFontana, CA 92335-1504Phone: (909) 791-1000Fax: (909) 781-6000
- 603 E Latham Ave Ste aHemet, CA 92543-4342Phone: (951) 502-3500Fax: (951) 502-3400
- 4240 Highland AveHighland, CA 92346-2764Phone: (909) 674-1900Fax: (909) 735-4200
- 1684 Plum Ln Ste 101Redlands, CA 92374-2866Phone: (909) 798-5599Fax: (909) 798-5595
- 2150 N Waterman Ave Ste 202San Bernardino, CA 92404-4811Phone: (909) 674-1600Fax: (909) 674-1800
- 811 E 11th St Ste 201Upland, CA 91786-4872Phone: (909) 985-0883Fax: (909) 985-5762
- 811 E 11th St Ste 208Upland, CA 91786-4872
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 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.