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

Lodi Podiatry Group

Organization Podiatrist · NPI 1750360699

Lodi Podiatry Group is a Podiatrist in Lodi, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
6

Practice location Address checks out

1300 W Lodi Ave Ste W
Lodi, CA 95242-3038
Phone: (209) 334-6664
Fax: (209) 334-2379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E3467 (CA)
Podiatrist Taxonomy 213E00000X · Licence E3241 (CA)
Radiology Podiatrist Taxonomy 213ER0200X · Licence E3241 (CA)
Radiology Podiatrist Taxonomy 213ER0200X · Licence E3467 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E3241 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E3467 (CA)

Record details

NPI number1750360699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Myers — Office Manager · (209) 334-0429
Other names Shock Thomas Gen Ptr
NPI enumeratedJanuary 10, 2006
Last updated in NPPESNovember 12, 2015
Mailing address1300 W Lodi Ave, Ste W, Lodi, CA 95242-3038