Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinic Services of California Medical Group Inc

Organization Emergency Medicine Physician · NPI 1578958450

Clinic Services of California Medical Group Inc is an Emergency Medicine Physician in Lodi, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1235 W Vine St Ste 20
Lodi, CA 95240-5144
Phone: (925) 924-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1578958450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristopher Smith — Cfo · (925) 924-1600
NPI enumeratedMarch 30, 2015
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020
Mailing address5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348

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