ENDOSCOPY CENTER OF LODI (NPI# 1881839959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881839959 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF LODI |
| Practice Address |
840 S Fairmont Ave Suite 1 Lodi CA 95240-5105 |
| Practice Telephone | 2093718700 |
| Practice Fax Number | 2093691262 |
| Mailing Telephone | 2093718700 |
| Mailing Fax Number | 2093691262 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | ROBIN KUEHNE (DIRECTOR) |
| Authorized Official Telephone | 2093330905 |
| Authorized Official Credential | RN BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | BQ951A | 01 |
| Street Address |
840 S FAIRMONT AVE SUITE 1 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497796247 | Matrix Rehabilitation, Inc. | Clinic/Center | 840 S Fairmont Ave, Suite 5, Lodi, CA 95240-5105 | 2006-06-10 |
| 1619302841 | Tiffany Tran | Registered Nurse | 840 S Fairmont Ave, Lodi, CA 95240 | 2013-09-06 |
| 1427290766 | Magdalena Catharina Panscik | Occupational Therapist | 840 S Fairmont Ave, Suite 5, Lodi, CA 95240-5105 | 2009-04-01 |
| 1467500181 | Ben Gervas Watson | Neuromusculoskeletal Medicine, Sports Medicine | 840 S Fairmont Ave, Suite 9, Lodi, CA 95240-5105 | 2007-01-08 |
| 1801955059 | Clifford Dean Kerr | Dentist | 840 S Fairmont Ave, Suite 4, Lodi, CA 95240 | 2006-12-06 |
| 1477580579 | Timothy A. Hale | Physical Therapist | 840 S Fairmont Ave, Ste. 5, Lodi, CA 95240-5105 | 2006-06-26 |
| 1326094616 | Joel F Steinberg | Internal Medicine | 840 S Fairmont Ave, #3, Lodi, CA 95240 | 2006-05-26 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592021 | First Surgery Center, Inc. | Clinic/Center | 31625 De Portola Rd Ste 102, Temecula, CA 92592-2770 | 2020-03-04 |
| 1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
| 1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
| 1619181765 | Lee & Bae Gi Medical Corporation | Clinic/Center | 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010-1307 | 2007-05-09 |
| 1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
| 1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
| 1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1336247642 | Pasadena Endoscopy Center Inc | Clinic/Center | 55 W Valley St, Pasadena, CA 91105-2015 | 2006-09-20 |
| 1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
| 1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
| 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.