SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC – NPI #1497785455
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC is a provider located in STOCKTON, CA. NPPES has assigned the NPI number 1497785455 to SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC on July 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 15 years ago on Jan 11, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC below.

NPI Profile for
SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC

NPI Number
1497785455
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC
Primary location
2800 N CALIFORNIA ST STE 14
STOCKTON, CA 95204-3759
Phone: (209) 942-1005 Fax: (209) 942-0455
Mailing address
2800 N CALIFORNIA ST
SUITE 14
STOCKTON, CA 95204
Phone: (209) 942-1005 Fax: (209) 942-0455
Organization Subpart
No
Authorized Official
PATTY BALDERSTON
ADMINISTRATOR
Phone: (209) 942-1005
Updated
Identifiers

Identifiers for SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARECACC6353
MEDICAIDCAGR0062380
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.