Active NPI
Alicia Karolina Lodhia, PA-C
- Physician Assistant
- Agana Heights, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56879
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA56879 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expresscare Health and Skin Center | Past | Accepting new patients | |
| California Spine Center a Professional Medical Corporation | Past | Accepting new patients | |
| Expresscare Health and Skin Center Inc. | Past | 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.
-
- Clinic/Center
- Chalan Pago, GU
- NPI 1083845853
-
- Adolescent Medicine (Family Medicine) Physician
- Hagatna, GU
- NPI 1538544713
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Walnut Creek, CA
- NPI 1114149341
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.