Golden State Providers, A Medical Corporation - Medicare Primary Care in Moorpark, CA

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Golden State Providers, A Medical Corporation is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Moorpark, California. The current practice location for Golden State Providers, A Medical Corporation is 865 Patriot Dr Ste 203, Moorpark, California. For appointments, you can reach them via phone at (805) 370-4684. The mailing address for Golden State Providers, A Medical Corporation is 2000 Health Park Dr, Brentwood, Tennessee and phone number is (615) 373-7600.

Golden State Providers, A Medical Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366859449. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 370-4684.

Contact Information

Golden State Providers, A Medical Corporation
865 Patriot Dr Ste 203
Moorpark
CA 93021-3405
(805) 370-4684
(844) 748-4623

Map and Direction


Primary Care Clinic Profile

Full NameGolden State Providers, A Medical Corporation
SpecialityClinic/Center
Location865 Patriot Dr Ste 203, Moorpark, California
Authorized Official Name and PositionSaba Habis (AUTHORIZED OFFICIAL)
Authorized Official Contact8058529100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Golden State Providers, A Medical Corporation
2000 Health Park Dr
Brentwood
TN 37027-4525

Ph: (615) 373-7600		Golden State Providers, A Medical Corporation
865 Patriot Dr Ste 203
Moorpark
CA 93021-3405

Ph: (805) 370-4684

NPI Details:

NPI Number1366859449
Provider Enumeration Date07/21/2014
Last Update Date10/30/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7012212475
Medicare Enrollment IDO20160223000539

Medical Identifiers

Medical identifiers for Golden State Providers, A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366859449NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Golden State Providers, A Medical Corporation acts as a billing entity for following providers:
Provider NameAndrea Natale
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1841382421
PECOS PAC ID: 6103727383
Enrollment ID: I20040120000456
Provider NameJeffrey M Dembner
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1356423271
PECOS PAC ID: 2961396718
Enrollment ID: I20040212000907
Provider NameSaibal Kar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1063449403
PECOS PAC ID: 0345235529
Enrollment ID: I20040416001381
Provider NameWei Zhang
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1801970181
PECOS PAC ID: 8527034743
Enrollment ID: I20040908001124
Provider NameClifford C Douglas
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1932166485
PECOS PAC ID: 3678537990
Enrollment ID: I20041116001251
Provider NameMohammad Asif Qadeer
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346206299
PECOS PAC ID: 9739128158
Enrollment ID: I20050426000712
Provider NameBrian Yost
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528036837
PECOS PAC ID: 0840230785
Enrollment ID: I20050510000573
Provider NameAnubhav Sinha
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770620817
PECOS PAC ID: 4284795675
Enrollment ID: I20081203000671
Provider NameMahesh S Desilva
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1114162682
PECOS PAC ID: 8820151772
Enrollment ID: I20090120000504
Provider NameCharles Eric Schroeder
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841265667
PECOS PAC ID: 3476507773
Enrollment ID: I20090126000520
Provider NameNathaniel Law
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1427073444
PECOS PAC ID: 7618014689
Enrollment ID: I20091023000096
Provider NameGregory P Fontana
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1508840570
PECOS PAC ID: 6507905247
Enrollment ID: I20091209000358
Provider NameFahmy Ibrahim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255424404
PECOS PAC ID: 0345206223
Enrollment ID: I20100708001080
Provider NameRonghuan Liu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1841333960
PECOS PAC ID: 1052509767
Enrollment ID: I20101222000517
Provider NameJay P Roby
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144531773
PECOS PAC ID: 3971783457
Enrollment ID: I20110216000172
Provider NameJordan L Newmark
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1144489592
PECOS PAC ID: 6406029065
Enrollment ID: I20121128000396
Provider NameChristina Pantazopoulos
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1073829685
PECOS PAC ID: 9133360647
Enrollment ID: I20130725000783
Provider NameKevin Kleis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1649566456
PECOS PAC ID: 5294052528
Enrollment ID: I20150326000905
Provider NameJohn Anthony Kuri
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1275737280
PECOS PAC ID: 7719057447
Enrollment ID: I20160908000580
Provider NameSteven A Brown
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1285945998
PECOS PAC ID: 0143517011
Enrollment ID: I20160920001805
Provider NameKelley C Mckenna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528410511
PECOS PAC ID: 1658669312
Enrollment ID: I20161012001276
Provider NamePatricia Adrienne Whitney De Luna
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1093154387
PECOS PAC ID: 8022382498
Enrollment ID: I20170922003040
Provider NameRina Parmeshwar Balasubramanian
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871935601
PECOS PAC ID: 6507132636
Enrollment ID: I20171018000162
Provider NameYu Yu Lynn Yin Shu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174944706
PECOS PAC ID: 1658638515
Enrollment ID: I20171130002177
Provider NameSvetlana Helms
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225178007
PECOS PAC ID: 9234203043
Enrollment ID: I20180213002309
Provider NameHank Haw Sun
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1427493220
PECOS PAC ID: 3678880150
Enrollment ID: I20180523000231
Provider NameLeonard Kenneth Lee
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1447690227
PECOS PAC ID: 2365798949
Enrollment ID: I20180712001046
Provider NameNikhil Achyut Sahasrabudhe
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1760772131
PECOS PAC ID: 0840541025
Enrollment ID: I20180927000857
Provider NameBrian A Mcconnell
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174533459
PECOS PAC ID: 2466527346
Enrollment ID: I20190416001627
Provider NameSameer Sami Khan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1316388606
PECOS PAC ID: 0042544116
Enrollment ID: I20190624000965
Provider NameMichael C R Andrews
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063791853
PECOS PAC ID: 5799062568
Enrollment ID: I20191106001768
Provider NamePeter C Ning
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760639272
PECOS PAC ID: 3375709264
Enrollment ID: I20200429001871
Provider NameAlexandra M Bock
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336761519
PECOS PAC ID: 7911320379
Enrollment ID: I20200710002747
Provider NameDarion Michelle Pearson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1093169237
PECOS PAC ID: 3274824503
Enrollment ID: I20200714003062
Provider NameRichard A Chiang
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265895536
PECOS PAC ID: 5799055703
Enrollment ID: I20200715001253
Provider NameGerard Joseph Hoatam
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407210008
PECOS PAC ID: 0547554065
Enrollment ID: I20200903000524
Provider NameJared S Lange
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578002689
PECOS PAC ID: 3072870625
Enrollment ID: I20201202001281
Provider NameFara J. Delaney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831559756
PECOS PAC ID: 7810382207
Enrollment ID: I20220322001457
Provider NameRussell L Shults
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1083060073
PECOS PAC ID: 9638464183
Enrollment ID: I20230815003405
Provider NameKanoo Priya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265151336
PECOS PAC ID: 0941671002
Enrollment ID: I20230920001540
Provider NameAngela Brooke Ingle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629765581
PECOS PAC ID: 7012365679
Enrollment ID: I20231121002023
Provider NameMengjie Wu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1073003273
PECOS PAC ID: 0547649667
Enrollment ID: I20231220002100
Provider NameNels D Carroll
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1396122099
PECOS PAC ID: 9638462344
Enrollment ID: I20240509001128
Provider NameAsvin Minoo Ganapathi
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1013234061
PECOS PAC ID: 5193054369
Enrollment ID: I20241002003609

Reviews and Comments


Clinic/Center in Moorpark, CA


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Moorpark Family Medicine Inc
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Medicare: Medicare Enrolled
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Phone: 805-531-9400    Fax: 805-531-9499
Mark R Winkler Md Pa Professional Corporation
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Medicare: Not Enrolled in Medicare
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Phone: 818-882-5375    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.