Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vine Imaging Partners Medical Group, Inc

Organization Specialist · NPI 1245804020

Vine Imaging Partners Medical Group, Inc is a Specialist in Lodi, California. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone: (209) 334-8580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 975 S Fairmont Ave, Lodi, CA 95240-5118 — (209) 334-3411

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1245804020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Rogero — President · (209) 339-7476
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address1031 S Fairmont Ave, Lodi, CA 95240-5112

Other providers in Lodi