CAROL LYNN NAKASHIMA (NPI# 1568487213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568487213 |
| Entity Type | Individual |
| Full Name | CAROL LYNN NAKASHIMA |
| Credential | MD |
| Practice Address |
999 S Fairmont Ave Ste 200 Lodi CA 95240 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2093343333 |
| Practice Fax Number | 2093692641 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G47899 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0022330 | 05 |
| Street Address |
999 S FAIRMONT AVE STE 200 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831345644 | Jacqualin Miller | Obstetrics & Gynecology | 999 S. Fairmont Ave., Ste. 230, Lodi, CA 95240-5142 | 2008-08-12 |
| 1952433062 | Kamal Kumar Dutta | Obstetrics & Gynecology | 426 Passaic Ave, Lodi, NJ 07644-1534 | 2007-03-12 |
| 1134232960 | Manjeet K Bryson | Obstetrics & Gynecology | 999 South Fairmont Ste 225, P Gill Obstetrics & Gynecology Medical Grp Inc, Lodi, CA 95240 | 2006-08-16 |
| 1669480760 | Peter Kyung-sun Yang | Obstetrics & Gynecology | 1103 Rivergate Dr, Lodi, CA 95240-0545 | 2006-08-04 |
| 1962401901 | Nicole Tate | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 225, Lodi, CA 95240-5100 | 2005-07-20 |
| 1851650469 | Alecia Nicole Russell | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2012-05-16 |
| 1598889081 | Lodi Obstetrics and Gynecology Medical Group | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 200, Lodi, CA 95240-5100 | 2007-03-19 |
| 1588736508 | Kimberley E Fillmore | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2006-11-14 |
| 1497762249 | Robert Glenn Howen | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 | 2006-08-02 |
| 1477578128 | Philip A Dodd | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 200, Lodi, CA 95240-5100 | 2006-07-13 |
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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.