LODI MEMORIAL HOSPITAL ASSOCIATION, INC (NPI# 1982860995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982860995 |
| Entity Type | Organization |
| Organization Name | LODI MEMORIAL HOSPITAL ASSOCIATION, INC |
| Other Organization Name | LODI MEMORIAL COMMUNITY CLINIC - TRINITY |
| Practice Address |
10200 Trinity Parkway Suite 102 Stockton CA 95219-7249 |
| Mailing Address |
Po Box 3004 Lodi CA 95241-1908 |
| Practice Telephone | 2099480808 |
| Practice Fax Number | 2099480807 |
| Mailing Telephone | 2093343411 |
| Mailing Fax Number | 2093397659 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2011-01-06 |
| 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 |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
550000841 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lodi Memorial Community Clinic - Trinity | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285695 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 1235 W Vine St, Suite 22, Lodi, CA 95240-5109 | 2008-08-27 |
| 1861649352 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 801 S Ham Lane, Suite S, Lodi, CA 95242-7501 | 2008-08-26 |
| Street Address |
10200 TRINITY PARKWAY SUITE 102 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376896779 | Pleasant Valley Chiropractic and Sports Medicine | Clinic/Center | 11720 E Wilson Rd, Stockton, IL 61085-9547 | 2012-10-23 |
| 1790910610 | California Primary Care Medical Group, Inc. | Clinic/Center | 530 W Acacia St, Stockton, CA 95203-2454 | 2009-05-21 |
| 1447464227 | Citizens Memorial Healthcare | Clinic/Center | 1521 3rd Rd, Stockton, MO 65785-9608 | 2007-05-10 |
| 1891209359 | Roc Medical | Clinic/Center | 1805 N California St Ste 406, Stockton, CA 95204-6033 | 2017-11-20 |
| 1477962645 | Tanveer S. Bajwa, Md., Inc. | Clinic/Center | 5345 N El Dorado St, Suite 3, Stockton, CA 95207-5872 | 2014-08-12 |
| 1699195115 | Dameron Hospital Association | Clinic/Center | 530 W Acacia St, Suite 1, Stockton, CA 95203-2454 | 2014-04-23 |
| 1770721649 | Marie Pearl C. Francisco, Md, Inc | Clinic/Center | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2009-01-30 |
| 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.