Organization Active NPI

Harvey Hashimoto MD Inc

  • Family Medicine Physician
  • Lodi, CA
National Provider Identifier
1649241050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G55355 Issued in MD
Legal business name
HARVEY HASHIMOTO MD INC
Practice address
801 S Ham LN
#5
Lodi, CA 95242
Phone
(209) 333-8066
Fax
(209) 333-1029
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Harvey Hashimoto, MD
Title
Ceo
Phone
(209) 333-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G55355 MD Primary

Addresses

Primary practice location

801 S Ham LN
#5
Lodi, CA 95242

Mailing address

PO Box 986
Woodbridge, CA 95258-0986
Phone (209) 333-8066

Other identifiers 1

IdentifierTypeStateIssuer
OOG553550MedicaidCA

National Provider Directory

National Provider Directory

Locations

801 S Ham Ln
Ste 5
Lodi, CA 95242
Phone (209) 333-8066

801 S Ham Ln
#5
Lodi, CA 95242
Phone (209) 333-8066

1901 W Kettleman Ln
Ste 200
Lodi, CA 95242
Phone (209) 334-8540

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649241050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580986",
            "telephone_number": "209-333-8066",
            "fax_number": "209-333-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S HAM LN",
            "address_2": "#5",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95242",
            "telephone_number": "209-333-8066",
            "fax_number": "209-333-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY HASHIMOTO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASHIMOTO",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-333-8066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "G55355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG553550",
            "state": "CA"
        }
    ],
    "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 22, 2020; 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.