Lodi Lifestyle Medicine & Surgery, Professional Corporation
NPI 1255160719 · Surgery Physician · Lodi, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lodi Lifestyle Medicine & Surgery, Professional Corporation is a Surgery Physician organization in Lodi, CA (NPI 1255160719).
Provider details
- NPI number
- 1255160719
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tony Chang, Ceo(209) 986-0802
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-31
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Frequently asked questions
- What is Lodi Lifestyle Medicine & Surgery, Professional Corporation's NPI number?
- Lodi Lifestyle Medicine & Surgery, Professional Corporation's National Provider Identifier (NPI) is 1255160719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lodi Lifestyle Medicine & Surgery, Professional Corporation?
- Lodi Lifestyle Medicine & Surgery, Professional Corporation is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lodi Lifestyle Medicine & Surgery, Professional Corporation located?
- Lodi Lifestyle Medicine & Surgery, Professional Corporation's practice location on file with NPPES is 801 S Ham Ln Ste E, Lodi, CA 95242-7502.
- What is Lodi Lifestyle Medicine & Surgery, Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Lodi Lifestyle Medicine & Surgery, Professional Corporation is (209) 333-1441.
- Does Lodi Lifestyle Medicine & Surgery, Professional Corporation accept Medicare?
- Lodi Lifestyle Medicine & Surgery, Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lodi Lifestyle Medicine & Surgery, Professional Corporation?
- The authorized official listed on Lodi Lifestyle Medicine & Surgery, Professional Corporation's NPPES record is Tony Chang, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lodi Lifestyle Medicine & Surgery, Professional Corporation's NPI active?
- Yes — Lodi Lifestyle Medicine & Surgery, Professional Corporation's NPI (1255160719) is active in the NPPES registry as of the last update on 2024-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.