| Golden Health Initiative Inc | |
|
16515 S 40th St Ste 135 Phoenix AZ 85048-0560 | |
| (480) 231-1240 | |
| (877) 673-9784 |
| Full Name | Golden Health Initiative Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 16515 S 40th St Ste 135, Phoenix, Arizona |
| Authorized Official Name and Position | Richard Golden (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4805425248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Health Initiative Inc 909 W Grove Pkwy Apt 1015 Tempe AZ 85283-8415 Ph: (480) 231-1240 | Golden Health Initiative Inc 16515 S 40th St Ste 135 Phoenix AZ 85048-0560 Ph: (480) 231-1240 |
| NPI Number | 1699308460 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 07/23/2025 |
| Certification Date | 07/23/2025 |
| Medicare PECOS PAC ID | 4789004854 |
|---|---|
| Medicare Enrollment ID | O20220616002671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699308460 | NPI | - | NPPES |
| Provider Name | Michelle N Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735772 PECOS PAC ID: 5496132268 Enrollment ID: I20220517000830 |
| Provider Name | Judith Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427618198 PECOS PAC ID: 9335528900 Enrollment ID: I20220628002668 |
| Provider Name | Paul Steven Sokolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750955225 PECOS PAC ID: 3072907690 Enrollment ID: I20230626000084 |
| Provider Name | Kamran Tasharofi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174595466 PECOS PAC ID: 4981692092 Enrollment ID: I20250624003921 |
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