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Pacific Heart and Vascular Medical Group

Cardiovascular Disease Physician in Lodi, CA · enumerated 2006 · authorized official Katherine Bohna, Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790712990

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Heart and Vascular Medical Group
Practice address 845 S Fairmont Ave, Suite 11, Lodi, CA, 95240
Phone (209) 334-0651
Fax (209) 334-5013
Enumeration date Jun 26, 2006
Last updated in NPPES Mar 2, 2020

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License FNP33233 (CA) Primary

Authorized official

Name Katherine Bohna
Title Supervisor
Phone (209) 464-3615

Other identifiers

Identifier Type State Issuer
ZZZ59847Z Other CA BC/BS GRP PROVIDER #
GR0086060 Medicaid CA -
060057321 Other CA RAILROAD MEDICARE GROUP #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pacific Heart and Vascular Medical Group?
The NPI for Pacific Heart and Vascular Medical Group is 1790712990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pacific Heart and Vascular Medical Group?
NPPES lists Katherine Bohna (Supervisor) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-02.