VINE IMAGING PARTNERS MEDICAL GROUP, INC.
NPI 1245804020
Specialist in Lodi, CA

Q: What is Vine Imaging Partners Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 17, 2021

1031 S FAIRMONT AVE, LODI, CA 95240(209) 334-8580 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vine Imaging Partners Medical Group, Inc. NPPES

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

VINE IMAGING PARTNERS MEDICAL GROUP, INC. (NPI 1245804020) is a healthcare organization registered as a specialist in Lodi, California and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Lodi and lists Grant William Rogero, President, as its authorized official.

NPPES Registry Identity

NPI1245804020

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameVINE IMAGING PARTNERS MEDICAL GROUP, INC.

Location Address1031 S FAIRMONT AVELodi, CA 95240-5112

Mailing Address1031 S Fairmont AveLodi, CA 95240-5112

Phone(209) 334-8580

Organization SubpartNo

Authorized OfficialGrant William RogeroPresident · (209) 339-7476

Enumeration DateMay 17, 2021

NPPES CertifiedMay 17, 2021

✔ NPI 1245804020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1031 S FAIRMONT AVE, Lodi, CA 95240

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Secondary Practice Location 1

Location 1975 S Fairmont AveLodi, CA 95240-5118 · Phone (209) 334-3411

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DELTA RADIOLOGY, INC.

Specialist

1031 S FAIRMONT AVE
LODI, CA 95240

San Joaquin County (209) 334-7810

ADVENTIST HEALTH PHYSICIANS NETWORK

Clinic/Center (Radiology)

1031 S FAIRMONT AVE
LODI, CA 95240

San Joaquin County (209) 334-8580

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 Vine Imaging Partners Medical Group, Inc.'s NPI number?

The NPI number for Vine Imaging Partners Medical Group, Inc. is 1245804020. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Vine Imaging Partners Medical Group, Inc. located?

Vine Imaging Partners Medical Group, Inc. is located at 1031 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-8580.

What is Vine Imaging Partners Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Vine Imaging Partners Medical Group, Inc. was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.