ROGER P VINCENT MD NPI 1861401093

NPI Information

  • NPI: 1861401093
  • Provider Name: ROGER P VINCENT, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1121 W VINE STREET
    SUITE 15
    LODI, CA
    ZIP 95240
  • Phone: (209) 334-4416

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NPI Details

Roger P Vincent, MD is a diagnostic radiology radiology in Lodi, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Roger P Vincent, MD NPI is 1861401093. 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:

1121 W VINE STREET
SUITE 15
LODI, CA
ZIP 95240
Phone: (209) 334-4416
Fax: (209) 371-0119

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/26/2012.

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
12085R0202XRadiologyDiagnostic RadiologyG28662CALIFORNIAYes

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
100G286625MEDICARE PINCALIFORNIA
200G286620MEDICAIDCALIFORNIA
300G286624MEDICARE PINCALIFORNIA
400G286627MEDICARE PINCALIFORNIA
500G286629MEDICARE PINCALIFORNIA
600G286628MEDICARE PINCALIFORNIA
7300014832MEDICARE PINCALIFORNIA
800G286620MEDICARE PINCALIFORNIA
900G2866210MEDICARE PINCALIFORNIA
1000G286626MEDICARE PINCALIFORNIA
11A43812MEDICARE UPINCALIFORNIA
1200G286623MEDICARE PINCALIFORNIA

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: 3/30/2025

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