MARY JANE VREDENBURG (NPI# 1528025988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528025988 |
| Entity Type | Individual |
| Full Name | MARY JANE VREDENBURG |
| Credential | DO |
| Practice Address |
1235 W Vine St Suite 20 Lodi CA 95240-5144 |
| Practice Telephone | 2093397600 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A7374 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX73740 | 05 |
| Street Address |
1235 W VINE ST SUITE 20 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5144 |
| 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 |
| 1225285695 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 1235 W Vine St, Suite 22, Lodi, CA 95240-5109 | 2008-08-27 |
| 1013023274 | Frank T Huang | Internal Medicine | 1235 W Vine St, Suite 22, Lodi, CA 95240-5144 | 2006-08-21 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588919716 | Tareq A Ali Md Apc | Family Medicine | 1520 W Kettleman Ln Ste B, Lodi, CA 95242-9290 | 2012-07-13 |
| 1609147354 | Ruby Kaur Gill | Family Medicine | 999 S Fairmont Ave Ste 235, Lodi, CA 95240-5100 | 2012-01-25 |
| 1114147212 | Frank Silvio Alvarado | Family Medicine | 830 S Ham Lane, Suite 30, Lodi, CA 95240 | 2007-04-30 |
| 1568480556 | Carina Fabiana Gonzalez | Family Medicine | 1300 W Lodi Ave Ste P, Lodi, CA 95242-3038 | 2006-07-17 |
| 1437177755 | Valerie J. Kidd | Family Medicine | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-07-17 |
| 1578506952 | Harvey Hashimoto | Family Medicine | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 | 2006-06-14 |
| 1790722718 | Tareq Ali | Family Medicine | 1520 W Kettleman Ln, Suite B, Lodi, CA 95242-9290 | 2006-05-31 |
| 1497712152 | Maria Elena Saluta-ferrer | Family Medicine | 1335 S Fairmont Ave, Lodi, CA 95240-5520 | 2006-04-27 |
| 1467417576 | Rian J Podein | Family Medicine | 160 Valley Drive, Lodi, WI 53555 | 2006-04-20 |
| 1790765386 | Kimberly C Sheets | Family Medicine | 225 Elyria St, Lodi, OH 44254 | 2006-01-19 |
| 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.