Organization Active NPI

Endoscopy Center of Lodi

  • Endoscopy Clinic/Center
  • Lodi, CA
National Provider Identifier
1881839959
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
ENDOSCOPY CENTER OF LODI
Practice address
840 S Fairmont Ave
Suite 1
Lodi, CA 95240-5105
Phone
(209) 371-8700
Fax
(209) 369-1262
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Robin Kuehne, RN BSN
Title
Director
Phone
(209) 333-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

840 S Fairmont Ave
Suite 1
Lodi, CA 95240-5105

Mailing address

840 S Fairmont Ave
Suite 1
Lodi, CA 95240-5105
Phone (209) 371-8700

Other identifiers 1

IdentifierTypeStateIssuer
BQ951AOtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1881839959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S FAIRMONT AVE",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405105",
            "telephone_number": "209-371-8700",
            "fax_number": "209-369-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S FAIRMONT AVE",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405105",
            "telephone_number": "209-371-8700",
            "fax_number": "209-369-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF LODI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "KUEHNE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-333-0905",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BQ951A",
            "state": null
        }
    ],
    "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 16, 2018; 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.