1. Home
  2. Directory
  3. California
  4. Lodi
  5. Family Medicine
  6. NPI Profile

MARY JANE VREDENBURG DO
NPI 1528025988
Family Medicine in Lodi, CA

Active since April 28, 2006
1235 W VINE ST, SUITE 20, LODI, CA 95240(209) 339-7600 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jane Vredenburg Do NPPES

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

MARY JANE VREDENBURG DO (NPI 1528025988) is an individual family medicine provider in Lodi, California, licensed in California (20A7374) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1528025988
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY JANE VREDENBURGCredential: DO
Location Address1235 W VINE ST, SUITE 20Lodi, CA 95240-5144
Mailing Address1235 W Vine St, Suite 20Lodi, CA 95240-5144
Phone(209) 339-7600
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateFebruary 5, 2009
✔ NPI 1528025988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A7374
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1235 W VINE ST, Lodi, CA 95240
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified020A73741CA · Medicare Number
Medicare UPING48260CA
Medicaid00AX73740CA

Other Providers at the Same Location NPPES 8

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

FRANK T HUANG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1235 W VINE ST, SUITE 22
LODI, CA 95240
San Joaquin County (209) 334-8520
DAWNNE KARSKY PA
Physician Assistant
1235 W VINE ST, SUITE 22
LODI, CA 95240
San Joaquin County (209) 339-7435
LODI MEMORIAL HOSPITAL ASSOCIATION, INC
Clinic/Center (Primary Care)
1235 W VINE ST, SUITE 22
LODI, CA 95240
San Joaquin County (209) 334-8520
KEVIN RICHARD HILTON MD
Orthopaedic Surgery
1235 W VINE ST, SUITE 22
LODI, CA 95240
San Joaquin County (209) 334-8520
HEALTHY CONNECTIONS, INC.
Community/Behavioral Health
1235 W VINE ST, SUITE 20
LODI, CA 95240
San Joaquin County (209) 339-7410
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
Emergency Medicine
1235 W VINE ST, SUITE 20
LODI, CA 95240
San Joaquin County (925) 924-1600
GOLDEN STATE THERAPY CENTER
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1235 W VINE ST, SUITE 22
LODI, CA 95240
San Joaquin County (209) 369-6996
WEIPING YAO MD
Specialist
1235 W VINE ST, SUITE 22
LODI, CA 95240
San Joaquin County (209) 334-8520

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 Mary Vredenburg's NPI number?

The NPI number for Mary Vredenburg is 1528025988. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Mary Vredenburg located?

Mary Vredenburg practices at 1235 W Vine St Suite 20, Lodi, CA 95240. The listed phone number is (209) 339-7600.

What is Mary Vredenburg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Vredenburg was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.