VIDA VIBRANTE TRANSITIONAL CARE GROUP INC (NPI# 1891171526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891171526 |
| Entity Type | Organization |
| Organization Name | VIDA VIBRANTE TRANSITIONAL CARE GROUP INC |
| Practice Address |
2036 Snowbird Dr Lodi CA 95242-4754 |
| Practice Telephone | 2096623856 |
| Mailing Telephone | 2096623856 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | DR. MIN MIN HLAING (PRESIDENT) |
| Authorized Official Telephone | 2096623856 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A104774 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2036 SNOWBIRD DR |
| City | LODI |
| State | CA |
| Zip Code | 95242-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801052204 | Lodi Community Hospital | General Practice | 221 Elyria St, Lodi, OH 44254-1000 | 2008-08-05 |
| 1538422316 | Pablo R Castro | General Practice | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2012-06-18 |
| 1083801484 | Simran Sethi | General Practice | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2007-09-29 |
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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.