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NEPHROLOGY MED ASSOCS CHO NPI 1639205917


NPI Information

NPI: 1639205917
Provider Name: NEPHROLOGY MED ASSOCS CHO
Classification: Pediatrics - 2080P0210X
Entity Type: Organization

Specialization: Pediatric Nephrology

Address:
747 52ND ST
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3335
Get Directions

NEPHROLOGY MED ASSOCS CHO is a pediatric nephrology pediatrics in Oakland, CA. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. NEPHROLOGY MED ASSOCS CHO NPI is 1639205917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3335
Fax: (510) 450-5850

The provider's authorized official is Rose Ellen Morrell .
The authorized official title is Head Of Dept and has the following contact phone number (510) 428-3335.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


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
12080P0210XPediatricsPediatric NephrologyG31927CALIFORNIAYes

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
1G31927OTHERCALIFORNIADR MORRELL'S CA MD LICENS
2GR0095810OTHERCALIFORNIAMEDI-CAL

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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