SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC
NPI 1497785455
Internal Medicine - Cardiovascular Disease in Stockton, CA
About San Joaquin Cardiology Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC (NPI 1497785455) is a healthcare organization registered as a cardiovascular disease in Stockton, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Patty S Balderston, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Joaquin Cardiology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to San Joaquin Cardiology Medical Group Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2165362
San Joaquin Cardiology Medical Grp Inc Vsl · Stockton, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Joaquin Cardiology Medical Group Inc's NPI number?
The NPI number for San Joaquin Cardiology Medical Group Inc is 1497785455. It was assigned to this organization in the NPPES registry on July 4, 2006.
Where is San Joaquin Cardiology Medical Group Inc located?
San Joaquin Cardiology Medical Group Inc is located at 2800 N California St Ste 14, Stockton, CA 95204. The listed phone number is (209) 942-1005.
What is San Joaquin Cardiology Medical Group Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is San Joaquin Cardiology Medical Group Inc enrolled in Medicare?
Yes. San Joaquin Cardiology Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Joaquin Cardiology Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to San Joaquin Cardiology Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (6) and Interventional Cardiology (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Joaquin Cardiology Medical Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2165362) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for San Joaquin Cardiology Medical Group Inc was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Joaquin Cardiology Medical Group Inc · NPI 1497785455
Cardiovascular Disease organization in Stockton, California. Organization record, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1497785455 (Entity type: Organization)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Patty Balderston, ADMINISTRATOR
## Practice location
- **Address:** 2800 N CALIFORNIA ST STE 14, Stockton, CA 95204-3759
- **Phone:** (209) 942-1005 · **Fax:** (209) 942-0455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (6), Interventional Cardiology (2); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2011
- **Other identifiers:** Medicaid GR0062380 (CA); Medicare PIN ZZZ43995Z (CA); Other CC6353 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497785455) · Data from the CMS NPPES public registry.