Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gold Country Health Initiative, LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1932666575

Gold Country Health Initiative, LLC is an Addiction Medicine (Family Medicine) Physician in Jackson, California. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

820/830 State Highway 88
Jackson, CA 95642
Phone: (209) 610-1524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 State Highway 88, Jackson, CA 95642 — (209) 610-1524

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X

Record details

NPI number1932666575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Vasti — Owner · (209) 610-1524
NPI enumeratedMarch 1, 2019
Last updated in NPPESDecember 6, 2019
Mailing addressPo Box 4057, Stockton, CA 95204-0057