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DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC NPI 1013977461


NPI Information

NPI: 1013977461
Provider Name: DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC

Doing Business As: DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1360 BURTON DR
SUITE 160
VACAVILLE, CA
ZIP 95687
Phone: (707) 446-4379
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DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC is a nephrology internal medicine in Vacaville, 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. DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC NPI is 1013977461. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Davita Renal Specialists Of California Medical Corporation.

The provider's business location address is:

1360 BURTON DR
SUITE 160
VACAVILLE, CA
ZIP 95687-539
Phone: (707) 446-4379
Fax: (707) 446-4417

The provider's authorized official is Anthony Gabriel .
The authorized official title is President and has the following contact phone number (303) 626-6103.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 1/21/2011.


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
1207R00000XInternal MedicineNo
2207RN0300XInternal 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
1ZZZ27071ZMEDICARE PINCALIFORNIA
2DA5762OTHERCALIFORNIARR RET BOARD MED RR CARR
3ZZZ21333ZMEDICARE PINCALIFORNIA

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: 11/14/2023

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