OrganizationActive
Lodi Memorial Hospital Association, Inc.
NPI 1760620330 · Primary Care Clinic/Center · Lodi, CA
Provider details
- NPI number
- 1760620330
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Lodi Memorial Hospital Association, Inc.
- Organization subpart
- Yes
- Authorized official
- Jason Whitney, Finance Officer(209) 339-7477
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1901 W Kettleman Lane
Suite 200
Lodi, CA 95242-4337
Phone: (209) 334-8540
Fax: (209) 339-7659
Street-level locationGet directions
Mailing address
Po Box 884577
Los Angeles, CA 90088-4577
Other names (DBA / former)
- Doing business as
- Lodi Memorial Community Clinic - Millsbridge
- Doing business as
- Lodi Memorial Community Clinic - Millsbridge
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.