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NEPHROLOGY ASSOCIATES MEDICAL GROUP INC NPI 1447200126


NPI Information

NPI: 1447200126
Provider Name: NEPHROLOGY ASSOCIATES MEDICAL GROUP INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D2067013

Address:
3660 PARK SIERRA DR
STE 203
RIVERSIDE, CA
ZIP 92505
Phone: (951) 687-3400
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NEPHROLOGY ASSOCIATES MEDICAL GROUP INC is a nephrology internal medicine in Riverside, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NEPHROLOGY ASSOCIATES MEDICAL GROUP INC NPI is 1447200126. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3660 PARK SIERRA DR
STE 203
RIVERSIDE, CA
ZIP 92505-081
Phone: (951) 687-3400
Fax: (951) 687-7630

The provider's authorized official is Chao Huang Sun .
The authorized official title is Co Owner and has the following contact phone number (951) 687-2800.

The CLIA number assigned to this NPI record is 05D2067013 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0071421MEDICAIDCALIFORNIA
2GR0071424MEDICAIDCALIFORNIA
3GR0071420MEDICAIDCALIFORNIA
4GR0071422MEDICAIDCALIFORNIA
5GR0071423MEDICAIDCALIFORNIA
61447200126MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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