Individual provider Active NPI

David R Aarons, MD

  • Gastroenterology Physician
  • Lodi, CA
National Provider Identifier
1619081379
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G37817 Issued in CA
Practice address
1121 West Vine St
Ste 14
Lodi, CA 95240
Phone
(209) 334-3153
Fax
(209) 334-6029
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G37817 CA Primary

Addresses

Primary practice location

1121 West Vine St
Ste 14
Lodi, CA 95240

Mailing address

1121 W Vine St
Suite 14
Lodi, CA 95240-5137
Phone (209) 334-3153

Other identifiers 3

IdentifierTypeStateIssuer
00G378170OtherCACOMMERICAL INSURANCE
110099702OtherCARAILROAD MEDICARE
00G378170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000343 CA Practitioner - Gastroenterology 2567624208 Practice locations: Lodi, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Artel LLC PastSince Oct 31, 2011 Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients
Hill Physicians Care Solutions, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1619081379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W VINE ST",
            "address_2": "SUITE 14",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405137",
            "telephone_number": "209-334-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WEST VINE ST",
            "address_2": "STE 14",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "209-334-3153",
            "fax_number": "209-334-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AARONS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G37817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INSURANCE",
            "identifier": "00G378170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110099702",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G378170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.