NPIMap

Organization Active NPI

Community Medical Team, Inc.

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1306521422
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMMUNITY MEDICAL TEAM, INC.
Practice address
1148 W Hammer LN
Stockton, CA 95209-3011
Phone
(209) 952-9696
NPI assigned
Jun 16, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sanjeev Goswami, MDNPI 1720148612
Title
Owner
Phone
(209) 952-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1148 W Hammer LN
Stockton, CA 95209-3011

Mailing address

1148 W Hammer LN
Stockton, CA 95209-3011
Phone (209) 952-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002000431 CA Part B Supplier - Clinic/Group Practice 4981058575 Receives reassigned benefits from 14 practitioners
Practice locations: Lodi, CA

National Provider Directory

National Provider Directory

Locations

1148 W Hammer Ln
Stockton, CA 95209
Phone (209) 310-6156

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1306521422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952093011",
            "telephone_number": "209-952-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952093011",
            "telephone_number": "209-952-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL TEAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-952-9696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.