Organization Active NPI

HT Family Physicians

  • Family Medicine Physician
  • Lodi, CA
National Provider Identifier
1629516620
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HT FAMILY PHYSICIANS
Practice address
999 S Fairmont Ave
Suite 215
Lodi, CA 95240-5100
Phone
(209) 400-2040
Fax
(209) 400-2050
NPI assigned
Feb 9, 2017
Organization subpart
Yes
Parent organization
HT FAMILY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Mr. Erik M. Hill, JD
Title
Office Administrator
Phone
(209) 477-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

999 S Fairmont Ave
Suite 215
Lodi, CA 95240-5100

Mailing address

77 W March LN
Stockton, CA 95207-5724
Phone (209) 477-5552

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2124909HT Family Physicians, Inc.999 S Fairmont Ave Ste 215, Lodi, CA 95240Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
HT Family Physicians2 organizations share this tax ID, including this one
Part of
HT Family Physicians

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

999 S Fairmont Ave
Ste 215
Lodi, CA 95240
Phone (209) 333-8510

77 W March Ln
Stockton, CA 95207

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1629516620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075724",
            "telephone_number": "209-477-5552",
            "fax_number": "209-477-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S FAIRMONT AVE",
            "address_2": "SUITE 215",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405100",
            "telephone_number": "209-400-2040",
            "fax_number": "209-400-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HT FAMILY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HT FAMILY PHYSICIANS",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "209-477-5552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "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 Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.