CMC, LODI VINE PEDIATRICS, SUITE 100
NPI 1710542816
Clinic/Center - Federally Qualified Health Center (FQHC) in Lodi, CA

NPI Status: Active since May 03, 2019

Contact Information

2415 W VINE ST STE 100
LODI, CA
ZIP 95242
Phone: (209) 333-3135

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About CMC, LODI VINE PEDIATRICS, SUITE 100

This page provides the complete NPI Profile along with additional information for Cmc, Lodi Vine Pediatrics, Suite 100, a primary care provider established in Lodi, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1710542816 assigned on May 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Cmc, Lodi Vine Pediatrics, Suite 100. The authorized official of this NPI record is Mrs. Christine Noguera (Ceo)

NPI
1710542816
Provider Legal Name
COMMUNITY MEDICAL CENTERS INC
Other Organization Name
CMC, LODI VINE PEDIATRICS, SUITE 100
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2415 W VINE ST STE 100 LODI, CA 95242
Location Phone
(209) 333-3135
Mailing Address
7210 MURRAY DR STOCKTON, CA 95210
Mailing Phone
(209) 373-2800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2019
Last Update Date
07-05-2019
Code Navigator

A primary care provider (PCP) like Cmc, Lodi Vine Pediatrics, Suite 100 sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CHRISTINE NOGUERA

Authorized Official Title
CEO
Authorized Official Phone
(209) 373-2831

Reviews for CMC, LODI VINE PEDIATRICS, SUITE 100

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710542816
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720104482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 0 + 4 + 4 + 8 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1710542816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952414013MRS. TERRI VACCAREZZA NP
Individual
Nurse Practitioner (Pediatrics)2415 W VINE ST STE 100
LODI, CA 95242
(209) 333-3135
1598777120 LAURA AKAHORI NP
Individual
Nurse Practitioner2415 W VINE ST STE 100
LODI, CA 95242
(209) 333-3135
1194738765 LISA ONEAL NP
Individual
Nurse Practitioner (Pediatrics)2415 W VINE ST STE 100
LODI, CA 95242
(209) 333-3135
1386654077LODI MEMORIAL HOSPITAL ASSOCIATION INC
Organization
Clinic/Center2415 W VINE ST STE 100
LODI, CA 95242
(209) 333-3135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710542816, enumerated in the NPI registry as an "organization" on May 03, 2019

The provider is located at 2415 W Vine St Ste 100 Lodi, Ca 95242 and the phone number is (209) 333-3135

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on May 03, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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