Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sanjeev Kumar Bansal, MD

Individual provider Family Medicine Physician · NPI 1174737225

Sanjeev Kumar Bansal, MD is an Emergency Medicine in Stockton, California. Qualified in 1999, 27 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Wisconsin.

Years since qualifying
27
Licensed in
CA, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2545 W Hammer Ln
Stockton, CA 95209-2839
Phone: (209) 957-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A103581 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 52117 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence A103581 (CA)

Record details

NPI number1174737225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESDecember 20, 2021
Mailing address3800 Dale Rd, Modesto, CA 95356-8627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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