NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY NPI 1093776304

NPI Information

NPI: 1093776304
Provider Name: NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D0582291

Address:
1019 W LA PALMA AVE UNIT A
ANAHEIM, CA
ZIP 92801
Phone: (714) 956-5200
Get Directions

NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY is a nephrology internal medicine in Anaheim, 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 MEDICAL GROUP INC OF ORANGE COUNTY NPI is 1093776304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1019 W LA PALMA AVE UNIT A
ANAHEIM, CA
ZIP 92801-664
Phone: (714) 956-5200
Fax: (714) 956-4614

The provider's authorized official is Leonard Shapiro .
The authorized official title is Doctor and has the following contact phone number (714) 956-5200.

The CLIA number assigned to this NPI record is 05D0582291 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/28/2006 and was last updated on 9/6/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W1088	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

NPI Synchronization or Removal

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