Individual provider Active NPI

Adam Joseph Woodyard, DO

  • Diagnostic Radiology Physician
  • Lodi, CA
National Provider Identifier
1063972198
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A24597 Issued in CA
Practice address
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone
(209) 334-3411
NPI assigned
Mar 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A24597 CA Primary

Addresses

Primary practice location

975 S Fairmont Ave
Lodi, CA 95240-5118

Mailing address

250 Cherry LN Ste 116
Manteca, CA 95337-4398
Phone (209) 707-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241205000828 OH Practitioner - Diagnostic Radiology 1759617947 Reassigns benefits to 1 organization
I20251015003986 CA Practitioner - Diagnostic Radiology 1759617947 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1052 Heinz Ranch CT
Pleasanton, CA 94566-2140
Phone (209) 647-2184

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 626-2613

1205 E N St
Manteca, CA 95336-4932
Phone (209) 647-2184

1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 647-2184

27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (209) 647-2184

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

6001 Norris Canyon Rd
San Ramon, CA 94583-5400
Phone (925) 275-9200

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

75 Nielson St
Watsonville Community Hospital
Watsonville, CA 95076-2468
Phone (831) 724-4741

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as apm
Quality
89.46
Promoting interoperability
99.02
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
24597CAMDClinical Social Worker
20A24597CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jan 31, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
County of San Joaquin CurrentSince Oct 9, 2025 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Oct 9, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 15, 2025 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 16, 2026 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Pleasanton Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 16, 2026 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 15, 2025 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jan 31, 2025 Accepting new patients
County of San Joaquin CurrentSince Oct 9, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Nov 1, 2025 Accepting new patients
County of San Joaquin Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

250 Cherry Ln
Ste 116
Manteca, CA 95337
Phone (209) 647-4684

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
#23
Cleveland, OH 44195
Phone (216) 444-5690

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1063972198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 116",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374398",
            "telephone_number": "209-707-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405118",
            "telephone_number": "209-334-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODYARD",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A24597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.