DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION – NPI #1013977461
Internal Medicine

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 RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION is a provider located in VACAVILLE, CA. NPPES has assigned the NPI number 1013977461 to DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION on March 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION” is a dba name, the actual legal business name for this organization is DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 15 years ago on Jan 21, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION below.

NPI Profile for
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC

NPI Number
1013977461
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC
Doing Business As (dba): DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION
Primary location
1360 BURTON DR
SUITE 160
VACAVILLE, CA 95687-3539
Phone: (707) 446-4379 Fax: (707) 446-4417
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY GABRIEL
PRESIDENT
Phone: (303) 626-6103
Updated
Identifiers

Identifiers for DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR RET BOARD MED RR CARRCADA5762
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.