Aj Land III

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1111 W Tokay St
Lodi, CA 95240-3965

Phone

(209) 563-0373

NPI assigned

Oct 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1750923462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W TOKAY ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403965",
            "telephone_number": "209-330-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOKAY ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403965",
            "telephone_number": "209-563-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "AJ",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Modesto",
            "affiliation": "Y",
            "affiliationName": "Turning Point Community Programs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Needham St",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953540730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• VA Lao
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• Larry Simpfenderfer OD Inc (Advanced Optometry)

• Rehabilitation Practitioner in Lodi, CA
• Providers in Lodi, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.