LIFE LINE CENTERS OF CALIFORNIA INC (NPI# 1154871416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154871416 |
Entity Type | Organization |
Organization Name | LIFE LINE CENTERS OF CALIFORNIA INC |
Practice Address |
856 N Sacramento St Ste H Lodi CA 95240-1251 |
Practice Telephone | 2093675433 |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-11-23 |
Authorized Official Name | MINDI ANDERSON (CEO) |
Authorized Official Telephone | 2093675433 |
Authorized Official Credential | LICENSED SPECIAL |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
856 N SACRAMENTO ST STE H |
City | LODI |
State | CA |
Zip Code | 95240-1251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841710282 | Mindi Ann Anderson | Counselor | 856 N Sacramento St Ste H, Lodi, CA 95240-1251 | 2017-06-27 |
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 |
Find all providers in zip 95240 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740631985 | Alexis Cortez-bautista | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2016-06-29 |
1467814301 | Michael Compton | Counselor | 441 S. Ham Lane, Suite A, Lodi, CA 95242-3525 | 2016-03-21 |
1649419649 | Claudia Irene Fender | Counselor | 1300 W Lodi Ave Ste G2, Lodi, CA 95242-3037 | 2009-02-13 |
1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
1548869050 | Heather Lizbeth Pittman | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-26 |
1477151843 | Mackenzie Rick Evans | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-16 |
1003421314 | Esperanza Gonzales | Counselor | 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 | 2020-09-14 |
1558996900 | Veronica Marie Alfalla | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2020-03-05 |
1306492822 | Abigail Gillett | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-12 |
1043866627 | Jennifer Preap | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-10 |
Find all providers in LODI |
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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.