LODI MEMORIAL COMMUNITY CLINIC - VINE
NPI 1225285695
Clinic/Center - Primary Care in Lodi, CA

Active since August 27, 2008
1235 W VINE ST, SUITE 22, LODI, CA 95240(209) 334-8520(209) 339-7659 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lodi Memorial Community Clinic - Vine NPPES

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

LODI MEMORIAL COMMUNITY CLINIC - VINE (NPI 1225285695) is a healthcare organization registered as a primary care in Lodi, California and active in the NPI registry since August 2008. The organization lists Jason Whitney, Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1225285695
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION, INC
Location Address1235 W VINE ST, SUITE 22Lodi, CA 95240-5109
Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659
Fax(209) 339-7659
Organization SubpartYes
Authorized OfficialJason WhitneyFinance Officer · (209) 339-7477
Enumeration DateAugust 27, 2008
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
NPI 1225285695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · 550001051
1235 W VINE ST, Lodi, CA 95240

Other Names 1

Doing Business AsLodi Memorial Community Clinic - Vine

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1235 W VINE ST, SUITE 22
LODI, CA 95240
Physician Assistant
1235 W VINE ST, SUITE 22
LODI, CA 95240
Orthopaedic Surgery
1235 W VINE ST, SUITE 22
LODI, CA 95240
Community/Behavioral Health
1235 W VINE ST, SUITE 20
LODI, CA 95240
Family Medicine
1235 W VINE ST, SUITE 20
LODI, CA 95240
Emergency Medicine
1235 W VINE ST, SUITE 20
LODI, CA 95240
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1235 W VINE ST, SUITE 22
LODI, CA 95240
Specialist
1235 W VINE ST, SUITE 22
LODI, CA 95240

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 1225285695. It was assigned to this organization in the NPPES registry on August 27, 2008. The provider is doing business as Lodi Memorial Community Clinic - Vine.

Where is Lodi Memorial Hospital Association, Inc located?

Lodi Memorial Hospital Association, Inc is located at 1235 W Vine St Suite 22, Lodi, CA 95240. The listed phone number is (209) 334-8520.

What is Lodi Memorial Hospital Association, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lodi Memorial Hospital Association, Inc was last updated on January 6, 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.