Organization Active NPI

Artel LLC

  • Ambulatory Surgical Clinic/Center
  • Lodi, CA
National Provider Identifier
1093771073
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
030000345 Issued in CA
Legal business name
ARTEL LLC
Practice address
521 S Ham LN
Suite F
Lodi, CA 95242-3528
Phone
(209) 333-0905
Fax
(209) 333-0219
NPI assigned
Apr 26, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LODI MEMORIAL HOSPITAL ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Katie J Delmore
Title
Finance Officer
Phone
(209) 339-7560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 030000345 CA Primary

Addresses

Primary practice location

521 S Ham LN
Suite F
Lodi, CA 95242-3528

Mailing address

PO Box 884577
Los Angeles, CA 90088-4577
Phone (209) 333-0905

Other identifiers 1

IdentifierTypeStateIssuer
SUR01056GMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000736 CA Part B Supplier - Ambulatory Surgical Center 8527121730 Practice locations: Lodi, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Artel LLC Dba Lodi Outpatient Surgical CenterCCN 05C0001056
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0643999Artel, LLC521 S Ham LN Suite F, Lodi, CA 95242Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Lodi Memorial Hosptial Pharmacy West

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

521 S Ham Ln
Lodi, CA 95242
Phone (209) 333-0905

521 S Ham Ln
Ste F
Lodi, CA 95242
Phone (209) 333-0905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1093771073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884577",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900884577",
            "telephone_number": "209-333-0905",
            "fax_number": "209-333-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S HAM LN",
            "address_2": "SUITE F",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423528",
            "telephone_number": "209-333-0905",
            "fax_number": "209-333-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LODI MEMORIAL HOSPITAL ASSOCIATION, INC.",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "209-339-7560"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "030000345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01056G",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "521 S Ham Ln",
            "address_2": "Suite F",
            "city": "Lodi",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952423528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.