Lodi Urological Medical Group, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LODI UROLOGICAL MEDICAL GROUP, INC.

Practice address

830 S Ham LN
Suite 26
Lodi, CA 95242-7510

Phone

(209) 368-6661

Fax

(209) 333-7655

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

N. Erick Albert, M.D.

Title

President

Phone

(209) 368-6661

Specialties & licenses 1

Addresses

Other identifiers 2

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas A. Sorbera, M.D.

  • Urology Physician
  • Statesboro, GA
  • NPI 1649382342
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1659467892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S HAM LN",
            "address_2": "SUITE 26",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427510",
            "telephone_number": "209-368-6661",
            "fax_number": "209-333-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S HAM LN",
            "address_2": "SUITE 26",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427510",
            "telephone_number": "209-368-6661",
            "fax_number": "209-333-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI UROLOGICAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "N.",
        "authorized_official_middle_name": "ERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-368-6661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77184Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC/NORIDIAN",
            "identifier": "1016910001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lodi Podiatry Group
• Lodi Sick Room Supply Inc
• Lodi Skilled Nursing Services, Inc.
• Lodi Sleep Disorders Management Group LP
• Lodi Unified School District
• Christopher Logoteta
• Longs Drug Stores California LLC
• Longs Drug Stores California LLC
• Elissa Marie Loock
• Amber Lopez, PHARMD

• Urology Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.