NPIMap

Individual provider Active NPI

Vishwa Sheth, M.D.

  • Nephrology Physician
  • Stockton, CA
National Provider Identifier
1366722365
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A127090 Issued in CA
Practice address
1801 E March LN Ste B265
Stockton, CA 95210-6655
Phone
(209) 546-1868
Fax
(209) 461-6505
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A127090 CA
Nephrology Physician 207RN0300X A127090 CA Primary
Internal Medicine Physician 207R00000X A127090 CA

Addresses

Primary practice location

1801 E March LN Ste B265
Stockton, CA 95210-6655

Mailing address

3400 Data Dr
Physician Support Services - 2ND Floor
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140809000083 CA Practitioner - NephrologyPractitioner - Internal Medicine 5890912166 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Joaquin Kidney Clinic, IncGroup PAC ID 8527009158, 8 clinicians

Practice addresses (Care Compare)

1801 E March LN
Suite B265
Stockton, CA 95210-6655
Phone (209) 546-1868

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A127090CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Jul 27, 2015 Accepting new patients
San Joaquin Faculty Medical Group Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
County of San Joaquin CurrentSince Jul 27, 2015 Accepting new patients
San Joaquin Kidney Clinic, Inc CurrentSince Jun 1, 2019 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
County of San Joaquin Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

801 S Ham Ln
Ste J
Lodi, CA 95242
Phone (209) 369-7336

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1801 E March Ln
Ste B265
Stockton, CA 95210
Phone (209) 369-7336

1530 Bessie Ave
Ste 107
Tracy, CA 95376
Phone (209) 834-1443

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vsheth279964@hisp.ehr.sutterhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1366722365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "PHYSICIAN SUPPORT SERVICES - 2ND FLOOR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106655",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "VISHWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A127090",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A127090",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.