Active NPI
Harvey Hashimoto MD Inc
- Family Medicine Physician
- Lodi, CA
National Provider Identifier
1649241050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G55355
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG553550 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Lodi, CA
- NPI 1932249620
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.