NPIMap

Organization Active NPI

Community Medical Team Acute Care Corporation

Doing business as Community Medical Team Inc

  • Emergency Medicine Physician
  • San Andreas, CA
National Provider Identifier
1366210478
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
COMMUNITY MEDICAL TEAM ACUTE CARE CORPORATION
Doing business as
Community Medical Team Inc
Practice address
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone
(209) 915-6505
Fax
(209) 464-0193
NPI assigned
Dec 18, 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 K Goswami, MDNPI 1720148612
Title
President
Phone
(209) 464-6422

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
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

768 Mountain Ranch Rd
San Andreas, CA 95249-9707

Mailing address

4401 W Memorial Rd Ste 121
Oklahoma City, OK 73134-1722
Phone (405) 751-4664

Other practice location 1

4401 W Memorial Rd Ste 121
Oklahoma City, OK 73134-1722
Phone (405) 751-4664 ext. 104

Other names 1

  • Community Medical Team Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401001405 CA Part B Supplier - Clinic/Group Practice 4587002290 Receives reassigned benefits from 30 practitioners
Practice locations: San Andreas, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1366210478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD STE 121",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341722",
            "telephone_number": "405-751-4664",
            "fax_number": "405-751-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499707",
            "telephone_number": "209-915-6505",
            "fax_number": "209-464-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 W Memorial Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731341722",
            "country_code": "US",
            "telephone_number": "405-751-4664 x104",
            "fax_number": "405-751-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL TEAM ACUTE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-464-6422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Team Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Andreas, 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.