Active NPI
Norcal Pain Treatment Center Corp
- Interventional Pain Medicine Physician
- Lodi, CA
National Provider Identifier
1801601109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- NORCAL PAIN TREATMENT CENTER CORP
- Practice address
- 1117 W Tokay St Ste a
Lodi, CA 95240-3844 - Phone
- (209) 448-3000
- Fax
- (209) 442-4116
- NPI assigned
- Feb 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Lindenberg
- Title
- VP of Operations
- Phone
- (209) 442-6631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1117 W Tokay St Ste a
Lodi, CA 95240-3844
Mailing address
PO Box 1462
Hughson, CA 95326-1462
Phone (209) 448-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250407002382 | CA | DME Supplier - Physician - Interventional Pain Management | 5698007086 | Practice locations: Lodi, CA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Merced, CA
- NPI 1235879362
5698007086
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Turlock, CA
- NPI 1720631708
5698007086
National Provider Directory
National Provider Directory- Tax ID family
- Norcal Pain Treatment Center Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Merced, CA
- NPI 1235879362
-
- Clinic/Center
- Modesto, CA
- NPI 1518850569
Locations
1117 W Tokay St
Ste A
Lodi, CA 95240
Phone (209) 333-2551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1801601109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1462",
"city": "HUGHSON",
"state": "CA",
"postal_code": "953261462",
"telephone_number": "209-448-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 W TOKAY ST STE A",
"city": "LODI",
"state": "CA",
"postal_code": "952403844",
"telephone_number": "209-448-3000",
"fax_number": "209-442-4116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCAL PAIN TREATMENT CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "LINDENBERG",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "209-442-6631"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"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 Feb 12, 2025; 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.