GREG WOMBLE (NPI# 1740703651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740703651 |
| Entity Type | Individual |
| Full Name | GREG WOMBLE |
| Practice Address |
104 N School St Ste 308 Lodi CA 95240-2161 |
| Practice Telephone | (209) 370-5901 |
| Mailing Telephone | 2093705901 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Cimmaron Dr, Lodi, CA 952424744 | 2093705901 |
| Street Address |
104 N SCHOOL ST STE 308 |
| City | LODI |
| State | CA |
| Zip Code | 95240-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275051302 | New Family Christian Church | Religious Nonmedical Health Care Institution | 104 N School St Ste 308, Lodi, CA 95240-2161 | 2017-09-08 |
| 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 | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468523 | Jessica Flanigan | Counselor | 29 Homestead Blvd, Mill Valley, CA 94941-3425 | 2020-08-19 |
| 1720606825 | Sam Chang | Counselor | 2649 Dorado Ct, Thousand Oaks, CA 91362-4916 | 2020-07-06 |
| 1528684115 | Robb Ring | Counselor | 802 E Chapman Ave, Orange, CA 92866-1650 | 2020-06-19 |
| 1174147888 | Ever Anselmo Mesa | Counselor | 2710 Gateway Oaks Dr Ste 100, Sacramento, CA 95833-3505 | 2020-05-29 |
| 1326677782 | Jim Carel Ten Bosch | Counselor | 35382 Roca Dr, Fremont, CA 94536-5460 | 2020-04-07 |
| 1841828563 | Elinor Anne Benefield | Counselor | 1918 Henry Ave, Pinole, CA 94564-2131 | 2020-03-29 |
| 1831726280 | Robin R Wells | Counselor | 955 Moraga Rd, Lafayette, CA 94549-4524 | 2020-03-25 |
| 1306472147 | Christine Noelle Haider-winnett | Counselor | 641 G St Apt A, Davis, CA 95616-3753 | 2020-03-12 |
| 1174163968 | Mark Seelig | Counselor | 4665 Hawaina Way, Kelseyville, CA 95451-9757 | 2020-01-09 |
| 1275175382 | Workforce Chaplaincy | Counselor | 4000 W Robinwood Ct, Visalia, CA 93291-5554 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
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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.