STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC
NPI 1477591444
Internal Medicine - Cardiovascular Disease in Stockton, CA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since June 03, 2006CLIA 05D0609159 · Waiver

415 E HARDING WAY, SUITE D, STOCKTON, CA 95204(209) 944-5750 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Stockton Cardiology Medical Group Complete Heart Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC (NPI 1477591444) is a healthcare organization registered as a cardiovascular disease in Stockton, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Abbas Chothia, President, as its authorized official.

NPPES Registry Identity

NPI1477591444

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSTOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC

Location Address415 E HARDING WAY, SUITE DStockton, CA 95204-6118

Mailing Address415 E Harding Way, Suite DStockton, CA 95204-6118 · (209) 944-5750

Phone(209) 944-5750

Organization SubpartNo

Authorized OfficialAbbas ChothiaPresident · (209) 944-5750

Enumeration DateJune 3, 2006

Last NPPES UpdateJuly 3, 2019

✔ NPI 1477591444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

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.

415 E HARDING WAY, Stockton, CA 95204

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0609159

Stockton Cardiology Medical Group,inc · Stockton, CA

Active · expires Mar 26, 2027

CLIA Number05D0609159

Laboratory TypePhysician Office

Certificate Effective DateMarch 27, 2025

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorAjay Ramanakumar

Laboratory Phone(209) 944-5750

Laboratory LocationStockton Cardiology Medical Group,inc415 E Harding Way, Suite D, Stockton, CA 95204

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session G0422

Intensive cardiac rehabilitation is a program designed to improve heart health after a cardiac event. It may involve monitored exercise sessions, where your heart rate is tracked via ECG to ensure safety. Each session is tailored to your needs and abilities.

2,538 services103 patients

Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session G0423

Intensive cardiac rehabilitation (ICR) is a program designed to improve heart health, especially after a cardiac event. It may include continuous ECG monitoring to track heart activity. Each session, even without exercise, focuses on lifestyle changes, diet, and stress management.

374 services97 patients

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PANKAJ D THAKER MD

Obstetrics & Gynecology

415 E HARDING WAY, SUITE I
STOCKTON, CA 95204

San Joaquin County (209) 467-1001

DR. SUDEVI P THAKER M.D.

Obstetrics & Gynecology

415 E HARDING WAY, SUITE I
STOCKTON, CA 95204

San Joaquin County (209) 467-1001

GEORGE S CHAROS M.D.