Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1356367262 Deactivated / Inactive NPI Male Practitioner

Dr. Marvin Herbert Primack , MD

Anesthesiology • Lodi, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marvin Primack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2006
NPI Deactivation Date June 21, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Primack, MD was a registered Anesthesiology practicing in Lodi, CA. Throughout an active medical career spanning 15 years, Dr. Primack provided care at the practice location at 521 S HAM LN until profile deactivation on 2021-06-21.

Practice Location & Contact Primary Location

Practice Address

521 S Ham Ln
Suite F

Lodi, CA 952423528

Telephone 2094738118
Fax 2099540524
Associated Practice Facility / Clinic
🏢 Artel Llc Facility NPI 1093771073

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.7 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Lodi, CA (7879 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License CA C20132

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Hieu Ly , OD

Optometrist

NPI 1831445352

Doctor of Optometry

NPI 1912014739

Doctor of Medicine (M.D.)

NPI 1992812739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 21, 2021

Record deactivated on June 21, 2021

NPI Profile Active July 17, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2007

Registered at 521 S HAM LN, SUITE F, LODI, CA 952423528 (Tel: 2094738118)

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Updated Business Mailing Address July 17, 2007

Registered at PO BOX 692661, STOCKTON, CA 952692661 (Tel: 2094738118)

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Provider Name / Credentials Updated July 17, 2007

Recorded as MARVIN PRIMACK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2007

Anesthesiology (License #C20132 in CA)

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Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356367262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: July 17, 2007
Deactivation Date: June 21, 2021

Mailing Address

Po Box 692661

Stockton, CA 952692661

Phone: 2094738118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.