CALIFORNIA KIDNEY MEDICAL GROUP INC – NPI #1083726871
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.

CALIFORNIA KIDNEY MEDICAL GROUP INC is a provider located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1083726871 to CALIFORNIA KIDNEY MEDICAL GROUP INC on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 18 years ago on Jul 29, 2008. 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 CALIFORNIA KIDNEY MEDICAL GROUP INC below.

NPI Profile for
CALIFORNIA KIDNEY MEDICAL GROUP INC

NPI Number
1083726871
Enumeration Date

(about 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
CALIFORNIA KIDNEY MEDICAL GROUP INC
Primary location
227 W JANSS RD
SUITE 110
THOUSAND OAKS, CA 91360-1848
Phone: (805) 496-6051 Fax: (805) 496-6785
Mailing address
PO BOX 940838
SIMI VALLEY, CA 93094-0838
Phone: (805) 433-7777 Fax: (805) 433-7607
Organization Subpart
No
Authorized Official
LILY KRASTEIN
ADMINISTRATOR
Phone: (805) 433-7777
Updated
Identifiers

Identifiers for CALIFORNIA KIDNEY MEDICAL GROUP INC

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
MEDICAIDCAGR0087560
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)

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.