Clinic Services of California Medical Group Inc
NPI 1578958450ActiveOrganization· Emergency Medicine· Lodi, CA
Emergency Medicine in Lodi, California, registered in NPPES in March 2015. The authorized official on file is Kristopher M. Smith, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578958450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2015 |
| Last updated in NPPES | Jan 10, 2020 |
| Certified by provider | Jan 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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