Organization Active NPI

Ibne Sina Community Clinic

  • Primary Care Clinic/Center
  • Lodi, CA
National Provider Identifier
1508771577
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 15, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.