Pacific Heart and Vascular Medical Group
NPI 1790712990 · Cardiovascular Disease Physician · Lodi, CA
Pacific Heart and Vascular Medical Group is a Cardiovascular Disease Physician organization in Lodi, CA (NPI 1790712990).
Provider details
- NPI number
- 1790712990
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katherine Bohna, Supervisor(209) 464-3615
- License
- FNP33233 (CA)
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
19 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
- 2006-06-26
- Last updated
- 2020-03-02
- Certified
- 2020-03-02
Frequently asked questions
- What is Pacific Heart and Vascular Medical Group's NPI number?
- Pacific Heart and Vascular Medical Group's National Provider Identifier (NPI) is 1790712990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Heart and Vascular Medical Group?
- Pacific Heart and Vascular Medical Group is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Heart and Vascular Medical Group located?
- Pacific Heart and Vascular Medical Group's practice location on file with NPPES is 845 S Fairmont Ave, Lodi, CA 95240-5113.
- What is Pacific Heart and Vascular Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Pacific Heart and Vascular Medical Group is (209) 334-0651.
- Who is the authorized official for Pacific Heart and Vascular Medical Group?
- The authorized official listed on Pacific Heart and Vascular Medical Group's NPPES record is Katherine Bohna, Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Heart and Vascular Medical Group's NPI active?
- Yes — Pacific Heart and Vascular Medical Group's NPI (1790712990) is active in the NPPES registry as of the last update on 2020-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.