Sanjeev G Vaishampayan (NPI# 1528035573, PAC ID# 0749367431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1528035573 |
| PAC ID by PECOS | 0749367431 |
| Professional Enrollment ID | I20100730000434 |
| Full Name | Sanjeev G Vaishampayan |
| Organization Legal Name | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| Address |
1148 Norman Dr Suite 3 Manteca CA 95336-5961 |
| Phone Number | 2098241555 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921048257 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050313 | SUTTER TRACY COMMUNITY HOSPITAL |
| 050118 | DOCTORS HOSPITAL OF MANTECA |
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| 050557 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1148 Norman Dr, Suite 3, Manteca, CA 95336-5961 | 2098241555 | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| 1530 Bessie Ave, Suite 101, Tracy, CA 95376-3080 | 2098320343 | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Puneet D Grewal | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 1530 Bessie Ave, Suite 101, Tracy, CA 95376-3080 |
| David C Lim | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Richard E Waters | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Surrender Raina | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| George S Charos | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Abbas A Chothia | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Owais A Khawaja | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Ajay Kumar Toppur Ramanakumar | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Caroline D Andersen | Physician Assistant | Stockton Cardiology Medical Group Complete Heart Care Inc | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 |
| Ali Reza Mirhosseini | Cardiovascular Disease (cardiology) | Stockton Cardiology Medical Group Complete Heart Care Inc | 1530 Bessie Ave, Suite 101, Tracy, CA 95376-3080 |
| Street Address |
1148 NORMAN DR SUITE 3 |
| City | MANTECA |
| State | CA |
| Zip | 95336-5961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahul Lalitchandra Patel | Internal Medicine | 1148 Norman Dr, Suite 4, Manteca, CA 95336-5961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Jean Bouchard | Obstetrics/gynecology | P. Gill Obstetrics and Gynecology Medical Group, Inc. | 1234 E N St, Suite 102, Manteca, CA 95336 |
| Maya Nambisan | Obstetrics/gynecology | P. Gill Obstetrics and Gynecology Medical Group, Inc. | 1234 E N St, Suite 102, Manteca, CA 95336 |
| Gail Joseph | Obstetrics/gynecology | P. Gill Obstetrics and Gynecology Medical Group, Inc. | 1234 E N St, Suite 102, Manteca, CA 95336 |
| Vivian Y Diep | Optometry | Golden Valley Health Center | 302 Northgate Dr, Manteca, CA 95336-3139 |
| Jayshri M Nimbargi | Internal Medicine | Golden Valley Health Center | 250 Northgate Dr, Manteca, CA 95336-3161 |
| Shweta S Rao | Family Medicine | Golden Valley Health Center | 250 Northgate Dr, Manteca, CA 95336-3161 |
| Michael Erdman | Chiropractic | 1126 N Main St, Manteca, CA 95336-3208 | |
| Henry Alan Pallotta | Physical Therapy | 1041 N Main St A, Manteca, CA 95336-3988 | |
| Hanh Judy Ngoc Nguyen | Optometry | 158 N Maple Ave, Manteca, CA 95336-4503 | |
| Gregory L Miller | Optometry | 138 N Grant Ave, Manteca, CA 95336-4601 | |
| Find all physicians in zip 95336 | |||
| City | MANTECA |
| Zip Code | 95336 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MANTECA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Sanjeev G Vaishampayan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.