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DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA INC. NPI 1306806740


NPI Information

NPI: 1306806740
Provider Name: DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA, INC.

Doing Business As: DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
650 EMPIRE ST
SUITE A
FAIRFIELD, CA
ZIP 94533
Phone: (707) 426-5407
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DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA, INC. is a nephrology internal medicine in Fairfield, 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 CA, INC. NPI is 1306806740. 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.

The provider's business location address is:

650 EMPIRE ST
SUITE A
FAIRFIELD, CA
ZIP 94533-536
Phone: (707) 426-5407
Fax: (707) 426-6376

The provider's authorized official is Anthony Gabriel .
The authorized official title is President and has the following contact phone number (303) 626-6220.

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
1CJ5764OTHERCALIFORNIARAILROAD MEDICARE
2ZZZ27071ZMEDICARE PINCALIFORNIA
3ZZZ21333ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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