Individual provider Active NPI

Ramin Manshadi, MD

  • Cardiovascular Disease Physician
  • Stockton, CA
National Provider Identifier
1629171202
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00A547390 Issued in CA
Practice address
2633 Pacific Avenue
Stockton, CA 95204
Phone
(209) 944-5530
Fax
(209) 944-5990
NPI assigned
Sep 7, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A547390 CA
Cardiovascular Disease Physician 207RC0000X 00A547390 CA Primary

Addresses

Primary practice location

2633 Pacific Avenue
Stockton, CA 95204

Mailing address

PO Box 4344
Stockton, CA 95204-0344
Phone (209) 944-5530

Other identifiers 2

IdentifierTypeStateIssuer
060059808OtherCARAILROAD MEDICARE
00A547390MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000791 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9830125798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1210 W Tokay St
Lodi, CA 95240-3810
Phone (209) 944-5530

2633 Pacific Ave
Stockton, CA 95204-4429
Phone (209) 944-5530

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
99.84 of 100Reported as individual
Quality
98
Improvement activities
40
Cost
79.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A547390CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince Sep 20, 1995 Accepting new patients
Manshadi Heart Institute Inc CurrentSince Oct 1, 2012 Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 20, 1995 Accepting new patients
San Joaquin Cardiology Medical Group Inc Cardiovascular Disease Current Accepting new patients
Cardiac Imaging Inc CurrentSince Sep 16, 2020 Accepting new patients
Larry Simpfenderfer OD Inc Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Norcal Urgent Care, Inc PastSince Jan 15, 2013 Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients

Locations

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

1210 W Tokay St
Lodi, CA 95240
Phone (209) 334-2626

900 S Fairmont Ave
Ste C
Lodi, CA 95240
Phone (209) 334-9911

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2633 Pacific Ave
Stockton, CA 95204
Phone (209) 944-5530

2800 N California St
Ste 14A
Stockton, CA 95204
Phone (209) 464-7681

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDABCA

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1629171202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4344",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952040344",
            "telephone_number": "209-944-5530",
            "fax_number": "209-944-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 PACIFIC AVENUE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-944-5530",
            "fax_number": "209-944-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSHADI",
        "first_name": "RAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A547390",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "00A547390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060059808",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A547390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.