Active NPI
Ibne Sina Community Clinic
- Primary Care Clinic/Center
- Lodi, CA
National Provider Identifier
1508771577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- IBNE SINA COMMUNITY CLINIC
- Practice address
- 12882 N Lower Sacramento Rd
Lodi, CA 95242-9225 - Phone
- (209) 200-3314
- NPI assigned
- Aug 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samina Qamar, MD
- Title
- President
- Phone
- (209) 715-7888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
12882 N Lower Sacramento Rd
Lodi, CA 95242-9225
Mailing address
1112 Rivergate Dr
Lodi, CA 95240-0555
Phone (209) 663-0453
National Provider Directory
National Provider DirectoryLocations
12882 N Lower Sacramento Rd
Lodi, CA 95242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Lodi, CA
- NPI 1235397936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786752000000",
"number": "1508771577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 RIVERGATE DR",
"city": "LODI",
"state": "CA",
"postal_code": "952400555",
"telephone_number": "209-663-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12882 N LOWER SACRAMENTO RD",
"city": "LODI",
"state": "CA",
"postal_code": "952429225",
"telephone_number": "209-200-3314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBNE SINA COMMUNITY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-15",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A",
"authorized_official_last_name": "QAMAR",
"authorized_official_first_name": "SAMINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-715-7888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
- Hieu Huynh
- Lily Thanhhuong Huynh, PHARMD
- My Huynh, RPH
- Phi Tan Huynh, MD
- Kristin Margaret Hylton, FDNP
- Inner Balance Medicine
- Inner Balance Medicine, Acupuncture Corp
- Innovative Senior Rehabilitation Services Inc.
- Innovative Senior Rehabilitation Services Inc.
- Innovative Senior Rehabilitation Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.