LODI MEMORIAL COMMUNITY CLINIC - TRINITY
NPI 1982860995
Clinic/Center - Primary Care in Stockton, CA

Active since July 30, 2008
10200 TRINITY PARKWAY, SUITE 102, STOCKTON, CA 95219(209) 948-0808(209) 948-0807 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lodi Memorial Community Clinic - Trinity NPPES

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

LODI MEMORIAL COMMUNITY CLINIC - TRINITY (NPI 1982860995) is a healthcare organization registered as a primary care in Stockton, California and active in the NPI registry since July 2008. The organization lists Jason Whitney, Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1982860995
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLODI MEMORIAL HOSPITAL ASSOCIATION, INC
Location Address10200 TRINITY PARKWAY, SUITE 102Stockton, CA 95219-7249
Mailing AddressPo Box 884577Los Angeles, CA 90088-4577 · (209) 334-3411 · Fax (209) 339-7659
Fax(209) 948-0807
Organization SubpartYesParent: Lodi Memorial Hospital Association, Inc.
Authorized OfficialJason WhitneyFinance Officer · (209) 339-7477
Enumeration DateJuly 30, 2008
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1982860995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 550000841
10200 TRINITY PARKWAY, Stockton, CA 95219

Other Names 1

Doing Business AsLodi Memorial Community Clinic - Trinity

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lodi Memorial Community Clinic - Trinity is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050517000577Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

220

Medicare enrollment records show 220 clinicians reassign Medicare billing to Lodi Memorial Community Clinic - Trinity, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Diagnostic Radiology76
Internal Medicine48
Nurse Practitioner14
Family Practice13
Physical Medicine and Rehabilitation10
Hospitalist9
Interventional Radiology9
Cardiovascular Disease (Cardiology)7
17 other specialties34

Nearest to this location (20)

See all 220
Internal Medicine
NPI 1437117322
10200 TRINITY PKWY SUITE 102
Stockton, CA 95219
(209) 948-0808
✔ PECOSSame address
Nurse Practitioner
NPI 1801809470
10200 TRINITY PKWY SUITE 102
Stockton, CA 95219
(209) 948-0808
✔ PECOSSame address
Internal Medicine
NPI 1053499863
7373 WEST LN
Stockton, CA 95210
(209) 476-2000
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1689017972
2333W MARCH LN A1
Stockton, CA 95207
(209) 475-8144
✔ PECOS4.7 mi
Family Practice
NPI 1538422316
1901 W KETTLEMAN LN SUITE 200
Lodi, CA 95242
(209) 334-8540
✔ PECOS✔ Accepts Medicare5.1 mi
Internal Medicine
NPI 1639175581
1901 W KETTLEMAN LN SUITE 200
Lodi, CA 95242
(209) 334-8540
✔ PECOS✔ Accepts Medicare5.1 mi
Hospitalist
NPI 1427248954
1901 W KETTLEMAN LN SUITE 200
Lodi, CA 95242
(203) 334-8540
✔ PECOS✔ Accepts Medicare5.1 mi
Cardiovascular Disease (Cardiology)
NPI 1215905260
1801 E MARCH LN STE. D400
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare5.6 mi
Interventional Cardiology
NPI 1114281524
1801 E MARCH LN
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1932285921
1801 E MARCH LN
Stockton, CA 95210
(209) 464-6422
✔ PECOS✔ Accepts Medicare5.6 mi
Obstetrics/Gynecology
NPI 1831345644
2415 W VINE ST STE 103
Lodi, CA 95242
(209) 333-3117
✔ PECOS✔ Accepts Medicare6.3 mi
Emergency Medicine
NPI 1578506952
2415 W VINE ST SUITE 105
Lodi, CA 95242
(209) 339-7435
✔ PECOS✔ Accepts Medicare6.4 mi
Podiatry
NPI 1629028923
2800 N CALIFORNIA ST STE 11
Stockton, CA 95204
(209) 473-1011
✔ PECOS✔ Accepts Medicare6.5 mi
Gastroenterology
NPI 1174803563
782 E HARDING WAY
Stockton, CA 95204
(209) 546-5200
✔ PECOS✔ Accepts Medicare6.7 mi
Physical Medicine and Rehabilitation
NPI 1174886881
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare6.8 mi
Orthopedic Surgery
NPI 1326482142
999 S FAIRMONT AVE STE 125
Lodi, CA 95240
(209) 334-8514
✔ PECOS✔ Accepts Medicare6.8 mi
Anesthesiology
NPI 1760450092
975 S FAIRMONT AVE
Lodi, CA 95240
(602) 540-3744
✔ PECOS✔ Accepts Medicare6.9 mi
Diagnostic Radiology
NPI 1063972198
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare6.9 mi
Colorectal Surgery (Proctology)
NPI 1366465841
1901 N CALIFORNIA ST
Stockton, CA 95204
(209) 946-6800
✔ PECOS✔ Accepts Medicare6.9 mi
Endocrinology
NPI 1013023274
1235 W VINE ST SUITE 22
Lodi, CA 95240
(209) 334-8520
✔ PECOS✔ Accepts Medicare6.9 mi
See all 220 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1982860995. It was assigned to this organization in the NPPES registry on July 30, 2008. The provider is doing business as Lodi Memorial Community Clinic - Trinity.

Where is Lodi Memorial Hospital Association, Inc located?

Lodi Memorial Hospital Association, Inc is located at 10200 Trinity Parkway Suite 102, Stockton, CA 95219. The listed phone number is (209) 948-0808.

What is Lodi Memorial Hospital Association, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lodi Memorial Hospital Association, Inc enrolled in Medicare?

Yes. Lodi Memorial Hospital Association, Inc is registered in the Medicare PECOS enrollment system.

When is Lodi Memorial Hospital Association, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lodi Memorial Hospital Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 220 clinicians in 25 Medicare specialties reassign their Medicare billing to Lodi Memorial Hospital Association, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (76), Internal Medicine (48) and Nurse Practitioner (14). Of these, 2 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.