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INLAND NEPHROLOGY MEDICAL ASSOCIATES INC NPI 1205905668


NPI Information

NPI: 1205905668
Provider Name: INLAND NEPHROLOGY MEDICAL ASSOCIATES INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
251 CAJON ST
SUITE B
REDLANDS, CA
ZIP 92373
Phone: (909) 793-7500
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INLAND NEPHROLOGY MEDICAL ASSOCIATES INC is a nephrology internal medicine in Redlands, 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. INLAND NEPHROLOGY MEDICAL ASSOCIATES INC NPI is 1205905668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

251 CAJON ST
SUITE B
REDLANDS, CA
ZIP 92373-260
Phone: (909) 793-7500
Fax: (909) 792-7890

The provider's authorized official is Michael Joseph Blakely .
The authorized official title is Office Manager and has the following contact phone number (909) 793-7500.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/19/2021.


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
1GR0080390MEDICAIDCALIFORNIA

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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