CMC, LODI VINE FAMILY CARE, SUITE 105
NPI 1164087268
Clinic/Center - Federally Qualified Health Center (FQHC) in Lodi, CA
About Cmc, Lodi Vine Family Care, Suite 105 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CMC, LODI VINE FAMILY CARE, SUITE 105 (NPI 1164087268) is a healthcare organization registered as a federally qualified health center (fqhc) in Lodi, California and active in the NPI registry since May 2019. The organization lists Christine Noguera, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cmc, Lodi Vine Family Care, Suite 105 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
153Medicare enrollment records show 153 clinicians reassign Medicare billing to Cmc, Lodi Vine Family Care, Suite 105, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 153Stockton, CA 95219
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Medical Centers Inc's NPI number?
The NPI number for Community Medical Centers Inc is 1164087268. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Cmc, Lodi Vine Family Care, Suite 105.
Where is Community Medical Centers Inc located?
Community Medical Centers Inc is located at 2415 W Vine St Ste 105, Lodi, CA 95242. The listed phone number is (209) 333-3121.
What is Community Medical Centers Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Community Medical Centers Inc enrolled in Medicare?
Yes. Community Medical Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Medical Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 153 clinicians in 17 Medicare specialties reassign their Medicare billing to Community Medical Centers Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Family Practice (28) and Pediatric Medicine (28). Of these, 1 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Community Medical Centers Inc was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cmc, Lodi Vine Family Care, Suite 105 · NPI 1164087268
Federally Qualified Health Center (FQHC) organization in Lodi, California. Organization record, active in the CMS NPPES registry since May 3, 2019.
## Identity
- **NPI:** 1164087268 (Entity type: Organization)
- **Enumerated:** May 3, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Medical Centers Inc
- **Organization subpart:** No
- **Authorized official:** Christine Noguera, CEO
## Practice location
- **Address:** 2415 W VINE ST STE 105, Lodi, CA 95242-3731
- **Phone:** (209) 333-3121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 153 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Family Practice (28), Pediatric Medicine (28); 1 practice at this address and 38 within 10 miles; [full list](https://npiprofile.com/npi/1164087268/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1164087268) · Data from the CMS NPPES public registry.