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INSTITUTE FOR HEALTH MANAGEMENT INC NPI 1932321387


NPI Information

NPI: 1932321387
Provider Name: INSTITUTE FOR HEALTH MANAGEMENT INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D0868551

Address:
715 SOUTHPOINT BLVD
SUITE C
PETALUMA, CA
ZIP 94954
Phone: (707) 778-6019
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INSTITUTE FOR HEALTH MANAGEMENT INC is a nephrology internal medicine in Petaluma, 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. INSTITUTE FOR HEALTH MANAGEMENT INC NPI is 1932321387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

715 SOUTHPOINT BLVD
SUITE C
PETALUMA, CA
ZIP 94954-835
Phone: (707) 778-6019
Fax: (707) 778-6068

The provider's authorized official is Robert Park .
The authorized official title is Medical Director and has the following contact phone number (707) 778-6019.

The CLIA number assigned to this NPI record is 05D0868551 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 4/13/2015.


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
1207RN0300XInternal MedicineNephrologyG022984CALIFORNIAYes

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
1A41800MEDICARE UPIN
2ZZZ17631ZMEDICARE ID-TYPE UNSPECIFIED
3G022984MEDICARE ID-TYPE UNSPECIFIED

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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