LODI DELTA EMERGENCY PHYSICIANS


Address: 975 S Fairmont Ave, Lodi, CA 95240-5118
Phone: 2093397575

LODI DELTA EMERGENCY PHYSICIANS (NPI# 1134290851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134290851
Entity Type Organization
Organization Name LODI DELTA EMERGENCY PHYSICIANS
Practice Address 975 S Fairmont Ave
Lodi
CA 95240-5118
Mailing Address Po Box 7830
Philadelphia
PA 19101-7830
Practice Telephone 2093397575
Mailing Telephone 8055633011
Enumeration Date 2006-11-13
Last Update Date 2010-01-28
Authorized Official Name DR. ANGEL L ISCOVICH (GENERAL PARTNER)
Authorized Official Telephone 8055633011
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 975 S FAIRMONT AVE
City LODI
State CA
Zip Code 95240-5118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316938301 Lodi Memorial Hospital Association Inc General Acute Care Hospital 975 S Fairmont Ave, Lodi, CA 95240-5118 2005-10-31
1174148662 Minh Duc Phan Pharmacist 975 S Fairmont Ave, Lodi, CA 95240-5118 2020-06-10
1710500848 Sara Ghohestani-bojd Physician Assistant 975 S Fairmont Ave, Lodi, CA 95240-5118 2020-05-23
1245864297 Kristin Jean Gedda Physician Assistant 975 S Fairmont Ave, Lodi, CA 95240-5118 2020-02-28
1124663539 Ryan Hortum Occupational Therapist 975 S Fairmont Ave, Lodi, CA 95240-5118 2019-11-08
1023673167 Diagnostic Pathology Medical Group Inc Pathology 975 S Fairmont Ave, Lodi, CA 95240-5118 2019-05-03
1295390672 Armeghan Bagherpour Physician Assistant 975 S Fairmont Ave, Lodi, CA 95240-5118 2019-05-01
1730643768 Hannah Esther Keller Physician Assistant 975 S Fairmont Ave, Lodi, CA 95240-5118 2019-01-23
1699242065 Elizabeth Emily Bennett Registered Nurse 975 S Fairmont Ave, Lodi, CA 95240-5118 2018-10-24
1669970778 Jason Rogers Physician Assistant 975 S Fairmont Ave, Lodi, CA 95240-5118 2018-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962034991 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 2020-02-07
1548747082 Gill and Patel Dental Corporation Dentist 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 2018-07-27
1629511308 Jose Daniel Garcia Licensed Vocational Nurse 12755 Ca-88, Lodi, CA 95240 2016-11-29
1104372754 Jocelyn Janel Shilue Specialist/Technologist 705 Brandywine Drive, Lodi, CA 95240 2016-09-01
1750735965 Natharchia R Peoples Counselor 9150 Ca-12, Lodi, CA 95240 2016-04-14
1891189403 Valley Community Couseling Services Case Management 1300 W. Lodi Ste G-2, Stockton, CA 95240 2015-03-20
1114317195 Carol Kooyman Speech-Language Pathologist 831 So. Lee Ave., Lodi, CA 95240 2015-01-29
1730514464 Richard Barry Sirard Pharmacist 520 S Cherokee Lane, Lodi, CA 95240 2013-09-12
1740622570 Joshlynn Uribe Marriage & Family Therapist 13520 E Live Oak Rd, Lodi, CA 95240 2013-07-22
1902172406 Sital Singh Internal Medicine 999 S Fairmont Ave Ste 125, Lodi, CA 95240 2012-03-29
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326472986 Medexpress Urgent Care - Northern New Jersey, PC Emergency Medicine 184 Essex St, Space F1, Lodi, NJ 07644-2707 2013-08-30
1881607455 Anniemarie Muna Santos Emergency Medicine 832 S Fairmont Ave, Lodi, CA 95240-5117 2006-08-14
1144232349 Mani Mahdyoon Emergency Medicine 845 S Fairmont Ave Ste 5, Lodi, CA 95240-5113 2006-08-13
1780606921 Renee Snelling Gilpen Emergency Medicine 975 S Fairmont Avenue, Lodi, CA 95240-5118 2006-07-24
1285098384 John Walter Emergency Medicine 975 S Fairmont Ave, Lodi, CA 95240-5118 2016-04-05
1629337449 Jatinder Kajla Emergency Medicine 975 S Fairmont Ave, Lodi, CA 95240-5118 2012-05-14
1437424553 Epmg Ohio State Inc, Pa Emergency Medicine 225 Elyria St, Lodi, OH 44254-1031 2012-03-22
1447576244 Poppi Elisa Rodriguez-webb Emergency Medicine 975 S Fairmont Ave, Lodi, CA 95240-5118 2010-04-19
1336257013 Carter N Killion Emergency Medicine 225 Elyria St, Lodi, OH 44254-1031 2006-08-25
1679681373 Mary Ellen Hancock Emergency Medicine 225 Elyria St, Lodi, OH 44254-1031 2006-08-25
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Competitor

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City LODI
Zip Code 95240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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