CMC, LODI VINE PEDIATRICS, SUITE 100
NPI 1710542816
Clinic/Center - Federally Qualified Health Center (FQHC) in Lodi, CA

Active since May 03, 2019
2415 W VINE ST STE 100, LODI, CA 95242(209) 333-3135 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2019, May 3, 2019 (2 updates tracked since 2019).

About Cmc, Lodi Vine Pediatrics, Suite 100 NPPES

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

CMC, LODI VINE PEDIATRICS, SUITE 100 (NPI 1710542816) is a healthcare organization registered as a federally qualified health center (fqhc) in Lodi, California and active in the NPI registry since May 2019. The organization lists Christine Noguera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710542816
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY MEDICAL CENTERS INC
Location Address2415 W VINE ST STE 100Lodi, CA 95242-3731
Mailing Address7210 Murray DrStockton, CA 95210-3339 · (209) 373-2800
Organization SubpartNo
Authorized OfficialChristine NogueraCeo · (209) 373-2831
Enumeration DateMay 3, 2019
Last NPPES UpdateJuly 5, 20192 updates tracked since enumeration
NPI 1710542816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2415 W VINE ST STE 100, Lodi, CA 95242

Other Names 1

Doing Business AsCmc, Lodi Vine Pediatrics, Suite 100

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.

Nurse Practitioner (Pediatrics)
2415 W VINE ST STE 100
LODI, CA 95242
Clinic/Center
2415 W VINE ST STE 100
LODI, CA 95242
Nurse Practitioner
2415 W VINE ST STE 100
LODI, CA 95242
Nurse Practitioner (Pediatrics)
2415 W VINE ST STE 100
LODI, CA 95242

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 Community Medical Centers Inc's NPI number?

The NPI number for Community Medical Centers Inc is 1710542816. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Cmc, Lodi Vine Pediatrics, Suite 100.

Where is Community Medical Centers Inc located?

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

What is Community Medical Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Community Medical Centers Inc was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.