Active NPI
Endoscopy Center of Lodi
- Endoscopy Clinic/Center
- Lodi, CA
National Provider Identifier
1881839959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BQ951A | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1225285695
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Lodi, CA
- NPI 1215049903
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.