Active NPI
San Joaquin PCCM Professional Corporation
- Pulmonary Disease Physician
- Stockton, CA
National Provider Identifier
1588508733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- SAN JOAQUIN PCCM PROFESSIONAL CORPORATION
- Practice address
- 1801 E March LN Ste C300
Stockton, CA 95210-6657 - Phone
- (209) 464-6422
- Fax
- (209) 464-0193
- NPI assigned
- Apr 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjeev K Goswami, MD
- Title
- President
- Phone
- (209) 464-6422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1801 E March LN Ste C300
Stockton, CA 95210-6657
Mailing address
1801 E March LN Ste C300
Stockton, CA 95210-6657
Phone (209) 464-6422
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pulmonary Disease Physician
- Stockton, CA
- NPI 1720148612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1588508733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E MARCH LN STE C300",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106657",
"telephone_number": "209-464-6422",
"fax_number": "209-464-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E MARCH LN STE C300",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106657",
"telephone_number": "209-464-6422",
"fax_number": "209-464-0193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JOAQUIN PCCM PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"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": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
- San Joaquin Hematology/Oncology a Professional Corp
- San Joaquin Kidney Clinic, Inc
- San Joaquin Laser and Surgery Center
- San Joaquin Laser Surgery Center
- San Joaquin Orthotics & Prosthetics
- San Joquin County Mental Health Services
- San Luis Physical Therapy & Orthopedic Rehabilitation Inc (Movement for Life Physical Therapy)
- Monique San
- Sophie San
- Salwa Sanany
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.