EAST BAY NEPHROLOGY MEDICAL GROUP INC. NPI 1275628992

NPI Information

NPI: 1275628992
Provider Name: EAST BAY NEPHROLOGY MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
14020 SAN PABLO AVE
STE A
SAN PABLO, CA
ZIP 94806
Phone: (510) 841-0411
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EAST BAY NEPHROLOGY MEDICAL GROUP, INC. is a nephrology internal medicine in San Pablo, 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. EAST BAY NEPHROLOGY MEDICAL GROUP, INC. NPI is 1275628992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14020 SAN PABLO AVE
STE A
SAN PABLO, CA
ZIP 94806-604
Phone: (510) 841-0411
Fax: (510) 845-5030

The provider's authorized official is Thomas A Turner .
The authorized official title is Chief Operating Officer and has the following contact phone number (510) 841-0411.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/22/2007.

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	ZZZ70798Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP NUMBER
2	ZZZ70798Z	MEDICAID	CALIFORNIA
3	CR0683	OTHER	CALIFORNIA	RAILROAD MEDICARE GROUP #

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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