MR. MAZEN MUHAMMAD MARDINI (NPI# 1518909126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518909126 |
Entity Type | Individual |
Full Name | MR. MAZEN MUHAMMAD MARDINI |
Credential | MD |
Practice Address |
999 S Fairmont Ave #115 Lodi CA 95240 |
Practice Telephone | 2093346325 |
Practice Fax Number | 2093344651 |
Mailing Telephone | 2093346325 |
Mailing Fax Number | 2093344651 |
Enumeration Date | 2006-06-11 |
Last Update Date | 2010-03-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A35332 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FED ID | 942676155 | 01 | |
CA | 00A353320 | 05 |
Street Address |
999 S FAIRMONT AVE #115 |
City | LODI |
State | CA |
Zip Code | 95240 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962401901 | Nicole Tate | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 225, Lodi, CA 95240-5100 | 2005-07-20 |
1629516620 | Ht Family Physicians | Family Medicine | 999 S Fairmont Ave, Suite 215, Lodi, CA 95240-5100 | 2017-02-09 |
1730531468 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave, Suite #125, Lodi, CA 95240-5100 | 2016-07-06 |
1780033084 | Adventist Health Physicians Network | Surgery | 999 S Fairmont Ave, Suite#100, Lodi, CA 95240-5100 | 2016-06-07 |
1245629526 | P. Gill Obsteterics & Gynecology Medical Group, Inc | Registered Nurse | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2015-01-09 |
1598183444 | Patricia Lynn Kennel | Internal Medicine | 999 S Fairmont Ave, Lodi, CA 95240-5100 | 2014-03-28 |
1215359534 | Deborah Planchard | Audiologist | 999 S Fairmont Ave, Suite 215, Lodi, CA 95240-5100 | 2014-01-07 |
1851650469 | Alecia Nicole Russell | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2012-05-16 |
1396018727 | Lodi Memorial Hospital Association Inc | Clinic/Center | 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 | 2012-02-15 |
1851684930 | Rajeev Shukla Md Inc | Internal Medicine | 999 S Fairmont Ave, Suite 135, Lodi, CA 95240-5100 | 2011-05-23 |
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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 Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
1619081379 | David R Aarons | Internal Medicine | 1121 West Vine St, Ste 14, Lodi, CA 95240 | 2006-08-19 |
1730531468 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave, Suite #125, Lodi, CA 95240-5100 | 2016-07-06 |
1376720813 | Waleed Ibrahim M.d., Inc. | Internal Medicine | 999 S Fairmont Ave, Ste. 115, Lodi, CA 95240-5100 | 2008-01-28 |
1235236571 | Tawhid Gazi | Internal Medicine | 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
1649752148 | Sara Kranke | Internal Medicine | 1822 W 244th St, Torrance, CA 90501-6711 | 2018-08-30 |
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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.