Clinic Services of California Medical Group Inc
NPI 1578958450 · Emergency Medicine Physician · Lodi, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinic Services of California Medical Group Inc is a Emergency Medicine Physician organization in Lodi, CA (NPI 1578958450).
Provider details
- NPI number
- 1578958450
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristopher Smith, Cfo(925) 924-1600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
- 2015-03-30
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Frequently asked questions
- What is Clinic Services of California Medical Group Inc's NPI number?
- Clinic Services of California Medical Group Inc's National Provider Identifier (NPI) is 1578958450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinic Services of California Medical Group Inc?
- Clinic Services of California Medical Group Inc is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clinic Services of California Medical Group Inc located?
- Clinic Services of California Medical Group Inc's practice location on file with NPPES is 1235 W Vine St, Lodi, CA 95240-5144.
- What is Clinic Services of California Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Clinic Services of California Medical Group Inc is (925) 924-1600.
- Does Clinic Services of California Medical Group Inc accept Medicare?
- Clinic Services of California Medical Group Inc 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 Clinic Services of California Medical Group Inc?
- The authorized official listed on Clinic Services of California Medical Group Inc's NPPES record is Kristopher Smith, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinic Services of California Medical Group Inc's NPI active?
- Yes — Clinic Services of California Medical Group Inc's NPI (1578958450) is active in the NPPES registry as of the last update on 2020-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.