DR. JACK EDWARD LAMENDOLA M.D. NPI 1053345959

NPI Information

  • NPI: 1053345959
  • Provider Name: DR. JACK EDWARD LAMENDOLA, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 7248 S LAND PARK DR
    SUITE 113
    SACRAMENTO, CA
    ZIP 95831
  • Phone: (916) 395-5226

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NPI Details

DR. Jack Edward Lamendola, M.D. is a pediatrics in Sacramento, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jack Edward Lamendola, M.D. NPI is 1053345959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7248 S LAND PARK DR
SUITE 113
SACRAMENTO, CA
ZIP 95831-660
Phone: (916) 395-5226
Fax: (916) 399-1569

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics00A37053CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A370531MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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