NPIMap

Organization Active NPI

Tomio T. Odama, M.D., Inc.

  • Internal Medicine Physician
  • Lodi, CA
National Provider Identifier
1992005474
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G28380 Issued in CA
Legal business name
TOMIO T. ODAMA, M.D., INC.
Practice address
1117 W Tokay St
Suite a
Lodi, CA 95240-3844
Phone
(209) 333-2551
Fax
(209) 333-8274
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Tomio Thomas Odama, M.D.
Title
President
Phone
(209) 333-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G28380 CA Primary

Addresses

Primary practice location

1117 W Tokay St
Suite a
Lodi, CA 95240-3844

Mailing address

1117 W Tokay St
Suite a
Lodi, CA 95240-3844
Phone (209) 333-2551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1992005474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W TOKAY ST",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403844",
            "telephone_number": "209-333-2551",
            "fax_number": "209-333-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W TOKAY ST",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403844",
            "telephone_number": "209-333-2551",
            "fax_number": "209-333-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMIO T. ODAMA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "ODAMA",
        "authorized_official_first_name": "TOMIO",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-333-2551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G28380",
            "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 25, 2015; 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.