LODI MEMORIAL PRIMARY CARE CLINIC
NPI 1306855523
Clinic/Center - Primary Care in Lodi, CA
About Lodi Memorial Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LODI MEMORIAL PRIMARY CARE CLINIC (NPI 1306855523) is a healthcare organization registered as a primary care in Lodi, California and active in the NPI registry since August 2006. The organization lists Jason Whitney, Finance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lodi Memorial Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
220Medicare enrollment records show 220 clinicians reassign Medicare billing to Lodi Memorial Primary Care Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 220Source: 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 Lodi Memorial Hospital Association Inc's NPI number?
The NPI number for Lodi Memorial Hospital Association Inc is 1306855523. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Lodi Memorial Primary Care Clinic.
Where is Lodi Memorial Hospital Association Inc located?
Lodi Memorial Hospital Association Inc is located at 2415 W Vine St Ste 105, Lodi, CA 95242. The listed phone number is (209) 333-3121.
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.
Is Lodi Memorial Hospital Association Inc enrolled in Medicare?
Yes. Lodi Memorial Hospital Association Inc is registered in the Medicare PECOS enrollment system.
When is Lodi Memorial Hospital Association Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lodi Memorial Hospital Association Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 220 clinicians in 25 Medicare specialties reassign their Medicare billing to Lodi Memorial Hospital Association 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 Diagnostic Radiology (76), Internal Medicine (48) and Nurse Practitioner (14). Of these, 1 practice at this address and 53 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 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.
# Lodi Memorial Primary Care Clinic · NPI 1306855523
Primary Care organization in Lodi, California. Organization record, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1306855523 (Entity type: Organization)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Lodi Memorial Hospital Association Inc
- **Organization subpart:** Yes (part of Lodi Memorial Hospital Association Inc)
- **Authorized official:** Jason Whitney, FINANCE OFFICER
## Practice location
- **Address:** 2415 W VINE ST STE 105, Lodi, CA 95242-3731
- **Phone:** (209) 333-3121 · **Fax:** (209) 339-7659
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 220 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (76), Internal Medicine (48), Nurse Practitioner (14); 1 practice at this address and 53 within 10 miles; [full list](https://npiprofile.com/npi/1306855523/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2022
- **Other identifiers:** Other ZZZ53358Z (CA); Medicaid GR0086832 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306855523) · Data from the CMS NPPES public registry.