NPIMap

Individual provider Active NPI

Sanjeev Vaishampayan, MD

  • Cardiovascular Disease Physician
  • Manteca, CA
National Provider Identifier
1528035573
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G88588 Issued in CA
Practice address
1148 Norman Dr Ste 3
Manteca, CA 95336-5961
Phone
(209) 824-1555
Fax
(209) 823-1147
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301055102 MI
Cardiovascular Disease Physician 207RC0000X G88588 CA Primary

Addresses

Primary practice location

1148 Norman Dr Ste 3
Manteca, CA 95336-5961

Mailing address

415 E Harding Way
Suite D
Stockton, CA 95204-6118
Phone (209) 944-5750

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
I20100730000434 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749367431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stockton Cardiology Medical Group Complete Heart Care IncGroup PAC ID 8921048257, 14 clinicians

Practice addresses (Care Compare)

1148 Norman Dr
Manteca, CA 95336-5961

1530 Bessie Ave
Suite 101
Tracy, CA 95376-3080
Phone (209) 832-0343

415 E Harding Way
Stockton, CA 95204-6118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
91.04
Promoting interoperability
74
Improvement activities
40
Cost
73.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair15
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88588CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Heart PC Specialist Current Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Saint Joseph's Hospital, Inc. Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
St. Mary's Health Care System, Inc. Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Locations

5325 Elliott Dr
Ste 203
Ypsilanti, MI 48197
Phone (734) 712-8020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: svaishampayan95693@hisp.ehr.sutterhealth.org
  • Direct secure messaging: svaishampayan18645@hpmg.direct-ci.net

Organizations & group practices 9

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 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1528035573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY",
            "address_2": "SUITE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-944-5750",
            "fax_number": "209-464-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 NORMAN DR STE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365961",
            "telephone_number": "209-824-1555",
            "fax_number": "209-823-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISHAMPAYAN",
        "first_name": "SANJEEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301055102",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G88588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.