Aimee Rene Cardoza, RADT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

R1506460523 Issued in CA

Practice address

330 S Fairmont Ave
Lodi, CA 95240-3958

Phone

(209) 744-9909

Fax

(209) 744-9910

NPI assigned

May 12, 2023

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1962192823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "888-474-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403958",
            "telephone_number": "209-744-9909",
            "fax_number": "209-744-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZA",
        "first_name": "AIMEE",
        "middle_name": "RENE",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1506460523",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "R1506460523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Camacho
• John Campos, LVN, LPT
• Jacqueline Cantellano
• David Canton
• Rhina Jean Ann Nevado Caragan
• Marla Francine Cardoza, M.S.
• Dana Y. Carey, MSW, PPS
• Michael Alan Carl, D.D.S.
• Rafael Carlos, DPT
• Candra Carr, PA-C

• Community Health Worker in Lodi, CA
• Providers in Lodi, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.