LODI MEMORIAL HOSPITAL ASSOCIATION, INC (NPI# 1225285695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225285695 |
| Entity Type | Organization |
| Organization Name | LODI MEMORIAL HOSPITAL ASSOCIATION, INC |
| Other Organization Name | LODI MEMORIAL COMMUNITY CLINIC - VINE |
| Practice Address |
1235 W Vine St Suite 22 Lodi CA 95240-5109 |
| Mailing Address |
Po Box 3004 Lodi CA 95241-1908 |
| Practice Telephone | 2093348520 |
| Practice Fax Number | 2093397659 |
| Mailing Telephone | 2093343411 |
| Mailing Fax Number | 2093397659 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | MR. JOSEPH P HARRINGTON (CHIEF EXECUTIVE OFFICER & PRESIDENT) |
| Authorized Official Telephone | 2093343411 |
| Is Organization Subpart | Y |
| Parent Organization Name | LODI MEMORIAL HOSPITAL ASSOCIATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CA | Ambulatory Health Care Facilities | |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
550001051 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lodi Memorial Community Clinic - Vine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982860995 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 10200 Trinity Parkway, Suite 102, Stockton, CA 95219-7249 | 2008-07-30 |
| 1861649352 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 801 S Ham Lane, Suite S, Lodi, CA 95242-7501 | 2008-08-26 |
| Street Address |
1235 W VINE ST SUITE 22 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085343 | Golden State Therapy Center | Clinic/Center | 1235 W Vine St, Suite 22, Lodi, CA 95240-5109 | 2005-06-29 |
| 1578958450 | Clinic Services of California Medical Group Inc | Nurse Practitioner | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2015-03-30 |
| 1376815282 | Healthy Connections, Inc. | Community/Behavioral Health | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2012-02-08 |
| 1013023274 | Frank T Huang | Internal Medicine | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 | 2006-08-21 |
| 1528025988 | Mary Jane Vredenburg | Family Medicine | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2006-04-28 |
| 1194781393 | Dawnne Karsky | Physician Assistant | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 | 2006-04-25 |
| 1275598831 | Kevin Richard Hilton | Orthopaedic Surgery | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 | 2006-04-18 |
| 1861460735 | Weiping Yao | Specialist | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 | 2006-03-08 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669743274 | Stockton Primary Care | Clinic/Center | 2068 Snowbird Dr, Lodi, CA 95242-4754 | 2012-01-13 |
| 1760620330 | Lodi Memorial Hospital Association, Inc. | Clinic/Center | 1901 W Kettleman Lane, Suite 200, Lodi, CA 95242-4337 | 2009-02-04 |
| 1023256880 | Lodi Memorial Hospital Association, Inc. | Clinic/Center | 2407 W Vine St, Suite A, Lodi, CA 95242-3730 | 2009-01-30 |
| 1306855523 | Lodi Memorial Hospital Association Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2006-08-05 |
| 1861649352 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 801 S Ham Lane, Suite S, Lodi, CA 95242-7501 | 2008-08-26 |
| 1235203688 | Lodi Children's Clinic Medical Corporation | Clinic/Center | 1920 Tienda Dr, Suite 102, Lodi, CA 95242-3930 | 2006-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LODI MEMORIAL HOSPITAL ASSOCIATION, INC.
| 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.