SAN JOAQUIN CRITICAL CARE MEDICAL GROUP, INC. (NPI# 1841780301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841780301 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN CRITICAL CARE MEDICAL GROUP, INC. |
| Practice Address |
1801 E March Ln Ste C300 Stockton CA 95210-6657 |
| Practice Telephone | 2094646422 |
| Practice Fax Number | 2094640193 |
| Mailing Telephone | 2094646422 |
| Mailing Fax Number | 2094640193 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. SANJEEV K GOSWAMI (PRESIDENT) |
| Authorized Official Telephone | 2094646422 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4061528 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1801 E MARCH LN STE C300 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068015 | Jennifer J. Williams, M.d., Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215270 | Ronald A Kass | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2005-06-15 |
| 1962068015 | Jennifer J. Williams, M.d., Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2019-05-14 |
| 1811343734 | Josebelo D. Chong, M.d. Inc. | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2016-05-10 |
| 1396007100 | Jennifer Williams | Internal Medicine | 1801 E March Ln, Stockton, CA 95210 | 2012-06-08 |
| 1316176035 | Sanjeev K. Goswami, Md, Inc. | Internal Medicine | 1801 E March Ln, C 300, Stockton, CA 95210-6629 | 2009-07-02 |
| 1487894739 | Sheldon G. Yucht | Internal Medicine | 1800 N California St, St. Joseph's Medical Center, Stockton, CA 95204-6019 | 2009-02-26 |
| 1770791642 | Valley Sleep Disorders Center of San Andreas Medical Group L.p. | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-05-21 |
| 1548481351 | Sierra Valley Lung & Sleep Medical Group Inc | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-05-01 |
| 1962549998 | Stockton Sleep Disorders Medical Group Lp | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-01-31 |
| 1255477345 | Sleep Disorders Management Medical Group Inc | Internal Medicine | 1805 N California St, Suite 206, Stockton, CA 95204-6037 | 2007-01-29 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.