LODI MEMORIAL HOSPITAL OB CLINIC
NPI 1811907512
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, SUITE 103, LODI, CA 95242(209) 333-3030(209) 339-7659 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lodi Memorial Hospital Ob Clinic NPPES

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

LODI MEMORIAL HOSPITAL OB CLINIC (NPI 1811907512) 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

NPI1811907512

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION INC

Location Address2415 W VINE ST, SUITE 103Lodi, CA 95242-3731

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

Phone(209) 333-3030

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 1811907512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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).

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

2415 W VINE ST, Lodi, CA 95242

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Other Names 1

Doing Business AsLodi Memorial Hospital Ob Clinic

Other Identifiers 2

MedicaidZZZ78517ZCA

OtherZZZ78517ZCA · Blue Shield

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.

LODI MEMORIAL HOSPITAL ASSOCIATION INC

Pharmacy (Community/Retail Pharmacy)

2415 W VINE ST, 104B
LODI, CA 95242

San Joaquin County (209) 333-3009

JAY RATILAL M.D.

Pediatrics

2415 W VINE ST, SUITE 100
LODI, CA 95242

San Joaquin County (209) 333-3135

HARVEY HASHIMOTO MD

Family Medicine

2415 W VINE ST, SUITE 105
LODI, CA 95242

San Joaquin County (209) 339-7435

KIRSTEN M CULLER MD

Pediatrics

2415 W VINE ST, SUITE 100
LODI, CA 95242

San Joaquin County (209) 333-3135

DAISY BRISENO FNP

Registered Nurse

2415 W VINE ST, SUITE 106
LODI, CA 95242

San Joaquin County (209) 333-3066

MS. SANDRA BECK-ATWATER RPH

Pharmacist

2415 W VINE ST, SUITE 104B
LODI, CA 95242

San Joaquin County (209) 333-3009

LODI HEALTH

Pharmacy Technician

2415 W VINE ST
LODI, CA 95242

San Joaquin County (209) 333-3009

REGINA FUNG GUEN WONG M.D.

Pediatrics

2415 W VINE ST, SUITE 105
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 1811907512. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Lodi Memorial Hospital Ob Clinic.

Where is Lodi Memorial Hospital Association Inc located?

Lodi Memorial Hospital Association Inc is located at 2415 W Vine St Suite 103, Lodi, CA 95242. The listed phone number is (209) 333-3030.

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.