SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC
NPI 1497785455
Internal Medicine - Cardiovascular Disease in Stockton, CA

Q: 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.

Active since July 04, 2006CLIA 05D2165362 · Waiver

2800 N CALIFORNIA ST STE 14, STOCKTON, CA 95204(209) 942-1005(209) 942-0455 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1497785455

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC

Location Address2800 N CALIFORNIA ST STE 14Stockton, CA 95204-3759

Mailing Address2800 N California St, Suite 14Stockton, CA 95204 · (209) 942-1005 · Fax (209) 942-0455

Phone(209) 942-1005

Fax(209) 942-0455

Organization SubpartNo

Authorized OfficialPatty S BalderstonAdministrator · (209) 942-1005

Enumeration DateJuly 4, 2006

Last NPPES UpdateJanuary 11, 2011

✔ NPI 1497785455 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.

2800 N CALIFORNIA ST STE 14, Stockton, CA 95204

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Other Identifiers 3

MedicaidGR0062380CA

Medicare PINZZZ43995ZCA

OtherCC6353CA · Railroad Medicare

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 MULTIPLE 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 05D2165362

San Joaquin Cardiology Medical Grp Inc Vsl · Stockton, CA

Active · expires Apr 24, 2027

CLIA Number05D2165362

Laboratory TypeObl Vascular

Certificate Effective DateApril 25, 2025

Certificate Expiration DateApril 24, 2027

Laboratory DirectorFram Buhari

Laboratory Phone(209) 942-1005

Laboratory LocationSan Joaquin Cardiology Medical Grp Inc Vsl2800 North California Street Suite 4, Stockton, CA 95204

CLIA data matches this NPI record on: Address Phone

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

Other Providers at the Same Location NPPES 2

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

DR. ALVIN CACHO M.D.

Internal Medicine (Cardiovascular Disease)

2800 N CALIFORNIA ST STE 14
STOCKTON, CA 95204

San Joaquin County (209) 942-1161

NETA DUVDEVANY

Pediatrics

2800 N CALIFORNIA ST STE 14
STOCKTON, CA 95204

San Joaquin County (209) 464-2605

Frequently 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.

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.