LODI MEMORIAL PEDIATRIC CLINIC
NPI 1386654077
Clinic/Center in Lodi, CA

Q: What is Lodi Memorial Hospital Association Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 08, 2006

2415 W VINE ST STE 100, LODI, CA 95242(209) 333-3135(209) 339-7659 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lodi Memorial Pediatric Clinic NPPES

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

LODI MEMORIAL PEDIATRIC CLINIC (NPI 1386654077) is a healthcare organization registered as a clinic/center 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

NPI1386654077

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION INC

Location Address2415 W VINE ST STE 100Lodi, CA 95242-3731

Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659

Phone(209) 333-3135

Fax(209) 339-7659

Organization SubpartYes

Authorized OfficialJason WhitneyFinance Officer · (209) 339-7477

Enumeration DateAugust 8, 2006

Last NPPES UpdateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1386654077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · 030000056

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2415 W VINE ST STE 100, Lodi, CA 95242

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Other Names 1

Doing Business AsLodi Memorial Pediatric Clinic

Other Identifiers 2

MedicaidGR0086831CA

OtherZZZ02721ZCA · Blue Shield Prov Grp

Other Providers at the Same Location NPPES 4

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

LISA ONEAL NP

Nurse Practitioner (Pediatrics)

2415 W VINE ST STE 100
LODI, CA 95242

San Joaquin County (209) 333-3135

LAURA AKAHORI NP

Nurse Practitioner

2415 W VINE ST STE 100
LODI, CA 95242

San Joaquin County (209) 333-3135

COMMUNITY MEDICAL CENTERS INC

Clinic/Center (Federally Qualified Health Center (FQHC))

2415 W VINE ST STE 100
LODI, CA 95242

San Joaquin County (209) 333-3135

MRS. TERRI VACCAREZZA NP

Nurse Practitioner (Pediatrics)

2415 W VINE ST STE 100
LODI, CA 95242

San Joaquin County (209) 333-3135

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 1386654077. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Lodi Memorial Pediatric Clinic.

Where is Lodi Memorial Hospital Association Inc located?

Lodi Memorial Hospital Association Inc is located at 2415 W Vine St Ste 100, Lodi, CA 95242. The listed phone number is (209) 333-3135.

What is Lodi Memorial Hospital Association Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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.