ADVENTIST HEALTH LODI MEMORIAL
NPI 1164431383
Clinic/Center - Rural Health in Galt, CA

Active since August 05, 2006CLIA 05D0964158 · Waiver
387 CIVIC DR, GALT, CA 95632(209) 745-8080(209) 745-8081 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adventist Health Lodi Memorial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVENTIST HEALTH LODI MEMORIAL (NPI 1164431383) is a healthcare organization registered as a rural health in Galt, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Jason Whitney, Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1164431383
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION INC
Location Address387 CIVIC DRGalt, CA 95632-2059
Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659
Fax(209) 745-8081
Organization SubpartYes
Authorized OfficialJason WhitneyFinance Officer · (209) 339-7477
Enumeration DateAugust 5, 2006
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
NPI 1164431383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in CA · 030000056
Also ListedClinic/CenterTaxonomy 261Q00000X
387 CIVIC DR, Galt, CA 95632

Other Names 3

Doing Business AsAdventist Health Lodi Memorial
Doing Business AsAh Medical Office Galt
Doing Business AsLodi Health Physicians Galt Family And Specialty Care

Other Identifiers 2

MedicaidRHM18546FCA
OtherZZZ53360ZCA · Blue Shield Prov Grp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0964158

Adventist Health Lodi Memorial · Galt, CA
Active · expires Mar 16, 2028
CLIA Number05D0964158
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorJorge Oceguera
Laboratory Phone(209) 339-7411
Laboratory LocationAdventist Health Lodi Memorial387 Civic Dr Ste A, Galt, CA 95632
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
387 CIVIC DR
GALT, CA 95632
Obstetrics & Gynecology
387 CIVIC DR
GALT, CA 95632
Nurse Practitioner (Family)
387 CIVIC DR
GALT, CA 95632
Family Medicine
387 CIVIC DR
GALT, CA 95632
Internal Medicine
387 CIVIC DR
GALT, CA 95632

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 Lodi Memorial Hospital Association Inc's NPI number?

The NPI number for Lodi Memorial Hospital Association Inc is 1164431383. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Adventist Health Lodi Memorial, AH Medical Office Galt and Lodi Health Physicians Galt Family and Specialty Care.

Where is Lodi Memorial Hospital Association Inc located?

Lodi Memorial Hospital Association Inc is located at 387 Civic Dr, Galt, CA 95632. The listed phone number is (209) 745-8080.

What is Lodi Memorial Hospital Association Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lodi Memorial Hospital Association Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0964158) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lodi Memorial Hospital Association Inc was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.