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PACIFIC KIDNEY CARE CORP NPI 1063014686


NPI Information

NPI: 1063014686
Provider Name: PACIFIC KIDNEY CARE CORP
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
243 GREEN VALLEY RD STE A
FREEDOM, CA
ZIP 95019
Phone: (702) 672-1141
Get Directions

PACIFIC KIDNEY CARE CORP is a nephrology internal medicine in Freedom, 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. PACIFIC KIDNEY CARE CORP NPI is 1063014686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

243 GREEN VALLEY RD STE A
FREEDOM, CA
ZIP 95019-133
Phone: (702) 672-1141

The provider's authorized official is Taurino Nunez Avelar .
The authorized official title is Physician Owner and has the following contact phone number (702) 672-1141.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.


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
1A126407OTHERCALIFORNIAMEDICAL BOARD OF CALIFORNIA

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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