Lodi Pain Clinic, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LODI PAIN CLINIC, INC.

Practice address

777 S Ham LN
Suite F
Lodi, CA 95242-3591

Phone

(209) 339-0300

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Harmanjeet C Dhaliwal, M.D.NPI 1235178658

Title

Owner

Phone

(209) 339-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Harmanjeet C Dhaliwal, M.D.

  • Anesthesiology Physician
  • Marysville, CA
  • NPI 1235178658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689611568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S HAM LN",
            "address_2": "SUITE F",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423591",
            "telephone_number": "209-339-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI PAIN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "HARMANJEET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-339-0300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lodi Memorial Hospital Association, Inc.
• Lodi Memorial Hospital Association, Inc.
• Lodi Memorial Hosptial Pharmacy West
• Lodi Obstetrics and Gynecology Medical Group
• Lodi Orthopaedic Medical Group
• Lodi Pharmacy Inc
• Lodi Pharmacy LLC
• Lodi Plaza Head & Neck Medical Assoc Inc
• Lodi Podiatry Group
• Lodi Sick Room Supply Inc

• Interventional Pain Medicine Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Interventional Pain Medicine Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.