Active NPI
Artel LLC
- Ambulatory Surgical Clinic/Center
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 030000345
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- LODI MEMORIAL HOSPITAL ASSOCIATION, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01056G | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0643999 | Artel, LLC | Certificate of waiver | Aug 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.
-
dba Lodi Memorial Community Clinic - Millsbridge
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1760620330
Member Of
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.
-
- Gastroenterology Physician
- Lodi, CA
- NPI 1619081379
-
- Specialist
- Stockton, CA
- NPI 1073559514
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.