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PACIFIC HEART AND VASCULAR MEDICAL GROUP
NPI 1649208463
Internal Medicine - Cardiovascular Disease in Stockton, CA

Active since June 29, 2006
1801 E MARCH LANE, SUITE D400, STOCKTON, CA 95210(209) 464-3615(209) 464-1311 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Heart And Vascular Medical Group NPPES

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

PACIFIC HEART AND VASCULAR MEDICAL GROUP (NPI 1649208463) is a healthcare organization registered as a cardiovascular disease in Stockton, California and active in the NPI registry since June 2006. The organization lists Katherine Bohna, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1649208463
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePACIFIC HEART AND VASCULAR MEDICAL GROUP
Location Address1801 E MARCH LANE, SUITE D400Stockton, CA 95210-5667
Mailing Address1801 E March Lane, Suite D400Stockton, CA 95210-5667 · (209) 464-3615 · Fax (209) 464-1311
Phone(209) 464-3615
Fax(209) 464-1311
Organization SubpartNo
Authorized OfficialKatherine BohnaSupervisor · (209) 464-3615
Enumeration DateJune 29, 2006
Last NPPES UpdateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
✔ NPI 1649208463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · FNP33233
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.
1801 E MARCH LANE, Stockton, CA 95210
Open in Google Maps ↗

Other Identifiers 3

OtherZZZ59840ZCA · Bc/bs Group Provider #
Other060057321CA · Railroad Medicare Group #
MedicaidGR0086062CA

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

Other Providers at the Same Location NPPES

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

SANJEEV KUMAR GOSWAMI MD
Internal Medicine (Pulmonary Disease)
1801 E MARCH LANE, STOCKTON
STOCKTON, CA 95210
San Joaquin County (209) 464-6422

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 Pacific Heart And Vascular Medical Group's NPI number?

The NPI number for Pacific Heart And Vascular Medical Group is 1649208463. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Pacific Heart And Vascular Medical Group located?

Pacific Heart And Vascular Medical Group is located at 1801 E March Lane Suite D400, Stockton, CA 95210. The listed phone number is (209) 464-3615.

What is Pacific Heart And Vascular Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Pacific Heart And Vascular Medical Group was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.