California Primary Care Medical Group, Inc.
NPI 1790910610ActiveOrganization· Clinic/Center, Multi-Specialty· Stockton, CA
Clinic/Center, Multi-Specialty in Stockton, California, registered in NPPES in May 2009. The authorized official on file is Otashe Nyoku Golden, M.D., Medical Director.
Overview
| NPI | 1790910610 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2009 |
| Last updated in NPPES | May 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | A70035 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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