Provider Type Icon

CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC NPI 1578958450


NPI Information

NPI: 1578958450
Provider Name: CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1235 W VINE ST
SUITE 20
LODI, CA
ZIP 95240
Phone: (925) 924-1600
Get Directions

CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC is an emergency medicine in Lodi, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC NPI is 1578958450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1235 W VINE ST
SUITE 20
LODI, CA
ZIP 95240-144
Phone: (925) 924-1600

The provider's authorized official is Kristopher M Smith .
The authorized official title is Cfo and has the following contact phone number (925) 924-1600.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 1/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.