SPECIALTY MEDICAL CENTER, INC – NPI #1104933183
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.

Health Care Provider Taxonomy Code for Internal Medicine

SPECIALTY MEDICAL CENTER, INC is a provider located in FULLERTON, CA. NPPES has assigned the NPI number 1104933183 to SPECIALTY MEDICAL CENTER, INC on August 24, 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 15 years ago on Jan 14, 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 SPECIALTY MEDICAL CENTER, INC below.

NPI Profile for
SPECIALTY MEDICAL CENTER, INC

NPI Number
1104933183
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
SPECIALTY MEDICAL CENTER, INC
Primary location
1401 S BROOKHURST RD
SUIT 100
FULLERTON, CA 92833
Phone: (714) 626-0700 Fax: (714) 626-0800
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK SONG
PHYSICIAN/SOLE OWNER
Phone: (701) 626-0700
Updated
Identifiers

Identifiers for SPECIALTY MEDICAL CENTER, 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
MEDICAIDCA00A497850
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)		 CA A49785

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.