GOLDEN VALLEY HEALTH CENTERS — NPI 1366655128 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical in WESTLEY, CA)

CMS-1500 Box 24J / 33a • NPI

1366655128

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363AM0700X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical

Box 32 Service Location & ZIP+4

301 HOWARD RD, WESTLEY, CA, 95387

Official NPPES Practice Location

Practice Phone & Referral Fax

(209) 894-3141

Fax: (209) 384-3966

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366655128 (GOLDEN VALLEY HEALTH CENTERS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1366655128` (NPI-2 Organization / Facility)
Provider / Legal Name	GOLDEN VALLEY HEALTH CENTERS
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: `363AM0700X` (Physician Assistant, Medical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	301 HOWARD RD, WESTLEY, CA, 95387
Practice Telephone / Fax	Tel: (209) 894-3141 \| Fax: (209) 384-3966
Administrative Mailing Address	737 W CHILDS AVE, MERCED, CA, 95340-6805
Enumeration & Last Sync	Enumerated: 2007-05-08 \| CMS Record Updated: 2025-09-11
Authorized Official	HELEN ROEHLK (Adm. Assist. Credentialing)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

301 HOWARD RD, WESTLEY, CA, 95387

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Plain-English Taxonomy & CMS Crosswalk (363AM0700X)

What Does Taxonomy Code 363AM0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Medical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GOLDEN VALLEY HEALTH CENTERS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `030000654` \| Primary: Secondary
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: CA \| License: `030000654` \| Primary: Secondary
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: CA \| License: `030000654` \| Primary: Secondary
`363AM0700X` — Physician Assistant, Medical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical	State: CA \| License: `030000654` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GOLDEN VALLEY HEALTH CENTERS (NPI #1366655128)