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

Dr. Dominic Pennisi, MD

Individual provider Internal Medicine Physician · NPI 1548703036

Dr. Dominic Pennisi, MD is an Internal Medicine in Lodi, California. Qualified in 2012, 14 years ago. Practices with Gill Medical Associates Inc, a 5-clinician group and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

832 S Fairmont Ave
Lodi, CA 95240-5117
Phone: (209) 365-9331
Fax: (209) 365-9359
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A175794 (CA)

Record details

NPI number1548703036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 1, 2016
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gill Medical Associates Inc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lodi