Organization Active NPI

Lampa Medical, Inc.

  • Clinic/Center
  • Lodi, CA
National Provider Identifier
1861818239
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
128829 Issued in CA
Legal business name
LAMPA MEDICAL, INC.
Practice address
1930 Tienda Dr
Suite 204
Lodi, CA 95242-3933
Phone
(209) 333-9950
Fax
(209) 333-9948
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Walter Joseph Lampa, MDNPI 1134385354
Title
Owner
Phone
(209) 333-9950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 128829 CA Primary

Addresses

Primary practice location

1930 Tienda Dr
Suite 204
Lodi, CA 95242-3933

Mailing address

1930 Tienda Dr
Suite 204
Lodi, CA 95242-3933
Phone (209) 333-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140708001574 CA Part B Supplier - Clinic/Group Practice 0244455277 Receives reassigned benefits from 1 practitioner
Practice locations: Lodi, CA

National Provider Directory

National Provider Directory

Locations

1930 Tienda Dr
Ste 204
Lodi, CA 95242
Phone (209) 333-9617

1930 Tienda Dr
Ste 201
Lodi, CA 95242
Phone (209) 867-7675

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1861818239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 TIENDA DR",
            "address_2": "SUITE 204",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423933",
            "telephone_number": "209-333-9950",
            "fax_number": "209-333-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 TIENDA DR",
            "address_2": "SUITE 204",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423933",
            "telephone_number": "209-333-9950",
            "fax_number": "209-333-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMPA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "LAMPA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-333-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "128829",
            "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 Mar 10, 2014; 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.