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KIDNEY CENTER A MEDICAL GROUP INC NPI 1518016773


NPI Information

NPI: 1518016773
Provider Name: KIDNEY CENTER A MEDICAL GROUP INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3543 SAN DIMAS ST
SUITE B
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 869-2600
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KIDNEY CENTER A MEDICAL GROUP INC is a nephrology internal medicine in Bakersfield, 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. KIDNEY CENTER A MEDICAL GROUP INC NPI is 1518016773. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3543 SAN DIMAS ST
SUITE B
BAKERSFIELD, CA
ZIP 93301-605
Phone: (661) 869-2600
Fax: (661) 869-2003

The provider's authorized official is Caroline Wong .
The authorized official title is Owner Operator and has the following contact phone number (661) 869-2600.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/28/2015.


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
1208M00000XHospitalistG75701CALIFORNIANo
2207RN0300XInternal MedicineNephrologyG75701CALIFORNIAYes

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
1ZZZ04314ZMEDICARE PINCALIFORNIA
2F65815MEDICARE UPINCALIFORNIA
3ZZZ04314ZMEDICAIDCALIFORNIA
4DF6107MEDICARE PINCALIFORNIA

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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