Active NPI
Joseph Prinsen, D.O., PH.D.
- Internal Medicine Physician
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A19528
- Practice address
- 975 S Fairmont Ave
Lodi, CA 95240-5118 - Phone
- (209) 334-3411
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101022490 | MI | |
| Internal Medicine Physician | 207R00000X | A-2292-19 | NM | |
| Internal Medicine Physician | 207R00000X | DO-05466 | IA | |
| Internal Medicine Physician | 207R00000X | 3868 | TN | |
| Internal Medicine Physician | 207R00000X | 0102207828 | VA | |
| Hospitalist Physician | 208M00000X | H90545 | MD | |
| Hospitalist Physician | 208M00000X | 20A19528 | CA | |
| Internal Medicine Physician | 207R00000X | 20A19528 | CA | Primary |
Addresses
Primary practice location
975 S Fairmont Ave
Lodi, CA 95240-5118
Mailing address
220 Mossy Springs Dr
Oakland, TN 38060-3468
Phone (978) 415-9332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, ND, MI, CA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022490 | MI | MD | Internal Medicine Physician |
| H90545 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Johns Hopkins University | Internal Medicine | Current | Accepting new patients |
| Vituity-Virginia Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Sports Medicine Grant, Inc | Past | Accepting new patients | |
| Michigan State University | Past | Accepting new patients |
Locations
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
600 N Wolfe St
#8134B
Baltimore, MD 21287
Phone (443) 287-3631
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
600 N Wolfe St
Baltimore, MD 21287
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
Interoperability endpoints
- jprinsen785329@direct.hopkinsmedicine.org
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Hospitalist Physician
- Richmond, VA
- NPI 1518611011
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Oxnard, CA
- NPI 1558233932
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1780671099
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1790135754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MOSSY SPRINGS DR",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380603468",
"telephone_number": "978-415-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 S FAIRMONT AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952405118",
"telephone_number": "209-334-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINSEN",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101022490",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "A-2292-19",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "DO-05466",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "3868",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102207828",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "H90545",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "20A19528",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A19528",
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.