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

Dr. Emmanuel Nosa Obanor, DO

Individual provider Internal Medicine Physician · NPI 1689615007

Dr. Emmanuel Nosa Obanor, DO is a Gastroenterology in Lodi, California. Qualified in 1995, 31 years ago. Practices with Pulmonary Medicine Associates Medical Group Inc, a 92-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

999 S Fairmont Ave Ste 125
Lodi, CA 95240-5100
Phone: (209) 334-8514
Fax: (209) 366-2661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 20A6988 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A6988 (CA)

Record details

NPI number1689615007
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESApril 4, 2017
Mailing addressPo Box 241011, Lodi, CA 95241-9511

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Pulmonary Medicine Associates Medical Group Inc. — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lodi