W.E. Lodge, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

011440777 Issued in CA

Legal business name

W.E. LODGE, INC

Practice address

801 Island Dr
Alameda, CA 94502-6762

Phone

(510) 748-4300

NPI assigned

Aug 20, 2015

Organization subpart

No

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

Authorized official

Name

Lauren Zimmerman Cook, JD

Title

Ceo

Phone

(510) 748-4300

Specialties & licenses 1

Addresses

Other names 1

• The Lodge Other name

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1700252137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ISLAND DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ISLAND DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026762",
            "telephone_number": "510-748-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.E. LODGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ZIMMERMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-748-4300",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "011440777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Whitaker Voss, DC
• Lam Votran, O.D.
• Heather Quynh Vu, PHARM. D
• Holly Hoa Vuong, PHARMD
• W. Tang, D.M.D, Inc.
• Luis Wachong
• Wadie Dughman, DMD, Inc.
• Luke Wagner
• Sarah Wagner, LMFT
• Brian Wai, PSY.D

• Assisted Living Facility in Alameda, CA
• Providers in Alameda, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.