Alisha Madrigal, PARAMEDICAL TATTOO

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1110 W Kettleman LN Ste 30
Lodi, CA 95240-6047

Phone

(209) 217-1067

NPI assigned

Dec 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1336957992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S CRESCENT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403940",
            "telephone_number": "209-642-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W KETTLEMAN LN STE 30",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406047",
            "telephone_number": "209-217-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "ALISHA",
        "credential": "PARAMEDICAL TATTOO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hieu Minh Ly, O.D.
• Debra Lynch
• Jessica Anne Lyon
• M&M Family Counseling Services
• Thao Ma
• Luis Madrigal
• Raoul Micheal Magana, D.C.
• Jenifer Maghinay, LPCC
• Valerie Salina Maglaya
• David Joseph Magorien, MD

• Specialist in Lodi, CA
• Providers in Lodi, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.