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LODI MEMORIAL PRIMARY CARE CLINIC
NPI 1306855523
Clinic/Center - Primary Care in Lodi, CA

Active since August 05, 2006
2415 W VINE ST STE 105, LODI, CA 95242(209) 333-3121(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 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

NPI1306855523
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION INC
Location Address2415 W VINE ST STE 105Lodi, CA 95242-3731
Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659
Phone(209) 333-3121
Fax(209) 339-7659
Organization SubpartYes
Authorized OfficialJason WhitneyFinance Officer · (209) 339-7477
Enumeration DateAugust 5, 2006
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1306855523 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 · 030000056
2415 W VINE ST STE 105, Lodi, CA 95242
Open in Google Maps ↗

Other Names 1

Doing Business AsLodi Memorial Primary Care Clinic

Other Identifiers 2

OtherZZZ53358ZCA · Blue Shield Prov Grp
MedicaidGR0086832CA

Other Providers at the Same Location NPPES 3

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

DR. THAN SOE M.D.
Internal Medicine
2415 W VINE ST STE 105
LODI, CA 95242
San Joaquin County (209) 333-3121
COMMUNITY MEDICAL CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2415 W VINE ST STE 105
LODI, CA 95242
San Joaquin County (209) 333-3121
KATRINA MARIE NGUYEN FNP
Nurse Practitioner (Family)
2415 W VINE ST STE 105
LODI, CA 95242
San Joaquin County (209) 333-3121

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.

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.