Individual provider Active NPI

Alicia Karolina Lodhia, PA-C

  • Physician Assistant
  • Agana Heights, GU
National Provider Identifier
1487218723
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56879 Issued in CA
Practice address
U.S. Naval Hospital Guam
BLDG 50, Farenholt Ave
Agana Heights, GU 96910
Phone
(671) 344-9222
NPI assigned
Apr 23, 2019
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56879 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

U.S. Naval Hospital Guam
BLDG 50, Farenholt Ave
Agana Heights, GU 96910

Mailing address

U.S. Naval Hospital Guam
PSC 455 Box 208
Fpo, AP 96540

Other practice location 1

2123 Ygnacio Valley Rd Ste K200
Walnut Creek, CA 94598
Phone (925) 926-0195

Other practice location 2

260 San Ramon Way
Novato, CA 94945-1132
Phone (415) 730-8774

Other practice location 3

260 San Ramon Way
Novato, CA 94945-1132
Phone (415) 730-8774

Other practice location 4

3100 Dublin Blvd
Dublin, CA 94568-4363
Phone (925) 556-4200

Other names 1

  • Alicia Karolina Lundgren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA56879CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Expresscare Health and Skin Center PastSince Feb 1, 2023 Accepting new patients
California Spine Center a Professional Medical Corporation PastSince May 1, 2007 Accepting new patients
Expresscare Health and Skin Center Inc. PastSince Feb 1, 2023 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1487218723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "U.S. NAVAL HOSPITAL GUAM",
            "address_2": "PSC 455 BOX 208",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. NAVAL HOSPITAL GUAM",
            "address_2": "BLDG 50, FARENHOLT AVE",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-344-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Ygnacio Valley Rd Ste K200",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "94598",
            "country_code": "US",
            "telephone_number": "925-926-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 San Ramon Way",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949451132",
            "country_code": "US",
            "telephone_number": "415-730-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 San Ramon Way",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949451132",
            "country_code": "US",
            "telephone_number": "415-730-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Dublin Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945684363",
            "country_code": "US",
            "telephone_number": "925-556-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODHIA",
        "first_name": "ALICIA",
        "middle_name": "KAROLINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56879",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "LUNDGREN",
            "middle_name": "KAROLINA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Agana Heights, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.