LODI MEMORIAL HOSPITAL ASSOCIATION INC
NPI 1316938301
General Acute Care Hospital in Lodi, CA

Active since October 31, 2005
975 S FAIRMONT AVE, LODI, CA 95240(209) 334-3411(209) 339-7659 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lodi Memorial Hospital Association Inc NPPES

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

LODI MEMORIAL HOSPITAL ASSOCIATION INC (NPI 1316938301), doing business as Lodi Memorial Hospital, is a healthcare organization registered as a general acute care hospital in Lodi, California and active in the NPI registry since October 2005. The organization lists Katie J Delmore, Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1316938301
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION INC
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659
Fax(209) 339-7659
Organization SubpartNo
Authorized OfficialKatie J DelmoreFinance Officer · (209) 339-7560
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1316938301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 030000056
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
975 S FAIRMONT AVE, Lodi, CA 95240

Other Names 1

Doing Business AsLodi Memorial Hospital

Other Identifiers 5

OtherZZZC3903ZCA · Blue Shield In & Outpt
MedicaidHSP40336FCA
MedicaidHSC00336FCA
OtherHSP40336FCA · Chdp
OtherZZR00336FCA · Cmsp Dept Of Health Svc

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 Hospital Association Inc 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050517000577Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

220

Medicare enrollment records show 220 clinicians reassign Medicare billing to Lodi Memorial Hospital Association Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Diagnostic Radiology76
Internal Medicine48
Nurse Practitioner14
Family Practice13
Physical Medicine and Rehabilitation10
Hospitalist9
Interventional Radiology9
Cardiovascular Disease (Cardiology)7
17 other specialties34

Nearest to this location (20)

See all 220
Nurse Practitioner
NPI 1760276778
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1386738458
999 S FAIRMONT AVE SUITE 135
Lodi, CA 95240
(209) 366-2060
✔ PECOSSame address
Family Practice
NPI 1558455618
999 S FAIRMONT AVE SUITE 135
Lodi, CA 95240
(209) 366-2060
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1194906107
999 S FAIRMONT AVE STE 130
Lodi, CA 95240
(209) 366-2001
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1326482142
999 S FAIRMONT AVE STE 125
Lodi, CA 95240
(209) 334-8514
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1902172406
999 S FAIRMONT AVE STE 125
Lodi, CA 95240
(209) 334-8514
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609147354
999 S FAIRMONT AVE STE 235
Lodi, CA 95240
(209) 334-0799
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1063690717
999 S FAIRMONT AVE STE 130
Lodi, CA 95240
(209) 366-2001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619672144
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1174886881
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1760450092
975 S FAIRMONT AVE
Lodi, CA 95240
(602) 540-3744
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1063972198
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1346681293
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 339-7639
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1831468255
975 S. FAIRMONT AVENUE
Lodi, CA 95240
(209) 333-5124
✔ PECOS0.1 mi
Endocrinology
NPI 1013023274
1235 W VINE ST SUITE 22
Lodi, CA 95240
(209) 334-8520
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1821000480
845 S FAIRMONT AVE STE 8
Lodi, CA 95240
(209) 339-7410
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1679542120
845 S FAIRMONT AVE SUITE 8
Lodi, CA 95240
(209) 339-7625
✔ PECOS✔ Accepts Medicare0.2 mi
Physical Medicine and Rehabilitation
NPI 1770076994
515 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-8570
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1629036413
1300 W LODI AVE
Lodi, CA 95242
(209) 366-1990
✔ PECOS✔ Accepts Medicare0.7 mi
Obstetrics/Gynecology
NPI 1831345644
2415 W VINE ST STE 103
Lodi, CA 95242
(209) 333-3117
✔ PECOS✔ Accepts Medicare1.0 mi
See all 220 clinicians

Source: 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 1316938301. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Lodi Memorial Hospital.

Where is Lodi Memorial Hospital Association Inc located?

Lodi Memorial Hospital Association Inc is located at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-3411.

What is Lodi Memorial Hospital Association Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

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, 10 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 July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.