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GOLDEN STATE THERAPY CENTER
NPI 1720085343
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Lodi, CA

Active since June 29, 2005
1235 W VINE ST, SUITE 22, LODI, CA 95240(209) 369-6996(209) 369-6980 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden State Therapy Center NPPES

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

GOLDEN STATE THERAPY CENTER (NPI 1720085343) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Lodi, California and active in the NPI registry since June 2005. The organization lists Frank Lyman Russell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720085343
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameGOLDEN STATE THERAPY CENTER
Location Address1235 W VINE ST, SUITE 22Lodi, CA 95240-5109
Mailing Address1235 W Vine St, Suite 22Lodi, CA 95240-5109 · (209) 369-6996 · Fax (209) 369-6980
Phone(209) 369-6996
Fax(209) 369-6980
Organization SubpartNo
Authorized OfficialFrank Lyman RussellAdministrator · (209) 369-6996
Enumeration DateJune 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720085343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
1235 W VINE ST, Lodi, CA 95240
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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
MARY JANE VREDENBURG DO
Family Medicine
1235 W VINE ST, SUITE 20
LODI, CA 95240
San Joaquin County (209) 339-7600
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
Emergency Medicine
1235 W VINE ST, SUITE 20
LODI, CA 95240
San Joaquin County (925) 924-1600
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 Golden State Therapy Center's NPI number?

The NPI number for Golden State Therapy Center is 1720085343. It was assigned to this organization in the NPPES registry on June 29, 2005.

Where is Golden State Therapy Center located?

Golden State Therapy Center is located at 1235 W Vine St Suite 22, Lodi, CA 95240. The listed phone number is (209) 369-6996.

What is Golden State Therapy Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Golden State Therapy Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.