MR. MAZEN MUHAMMAD MARDINI


Address: 999 S Fairmont Ave, #115, Lodi, CA 95240
Phone: 2093346325

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
A35332 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FED ID 942676155 01
CA 00A353320 05

Office Location

Street Address 999 S FAIRMONT AVE
#115
City LODI
State CA
Zip Code 95240

Providers in the same location

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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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 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LODI
Zip Code 95240

Improve Information

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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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