Organization · Type 2 NPI

Golden State Primary Care Inc

General Practice Physician · Fontana, CA

NPI number 1124987201 Active

Practice location

16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242

Fax (909) 823-8088

Other practice locations

  • 4240 Highland Ave, Highland, CA 92346-2764 · (909) 674-1900
  • 15237 Eleventh St Ste C, Victorville, CA 92395-3736 · (760) 493-9300
  • 811 E 11th St Ste 208, Upland, CA 91786-4872 · (909) 493-7410
  • 2150 N Waterman Ave Ste 202, San Bernardino, CA 92404-4811 · (909) 674-1600
  • 603 E Latham Ave Ste A, Hemet, CA 92543-4342 · (951) 502-3500
  • 811 E 11th St Ste 201, Upland, CA 91786-4872 · (909) 985-0883
  • 16854 Ivy Ave Ste A, Fontana, CA 92335-1504 · (909) 791-1000
  • 1684 Plum Ln Ste 101, Redlands, CA 92374-2866 · (909) 798-5599
  • 18523 Corwin Rd Ste H, Apple Valley, CA 92307-2300 · (760) 242-3005
  • 15237 Eleventh St Ste A, Victorville, CA 92395-3736 · (760) 662-7420

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

15 other providers at this address

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About NPI 1124987201

Golden State Primary Care Inc's National Provider Identifier is 1124987201, issued on Jan 15, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fontana, CA. The record was last updated on Jan 15, 2026.