DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION – NPI #1669436648
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 WHITTIER, CA. NPPES has assigned the NPI number 1669436648 to DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION on April 14, 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 CALIFORNA INC. 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 6 years ago on Aug 22, 2020. 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 CALIFORNA INC

NPI Number
1669436648
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 CALIFORNA INC
Doing Business As (dba): DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION
Primary location
15141 E WHITTIER BLVD
STE 225
WHITTIER, CA 90603
Phone: (562) 698-3536 Fax: (562) 698-3945
Mailing address
PO BOX 2355
TACOMA, WA 98401
Phone: (800) 310-4872 Fax: (877) 328-4923
Organization Subpart
No
Authorized Official
ANTHONY GABRIEL
OWNER PRESIDENT SECRETARY TREASURER
Phone: (800) 310-4872
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
MEDICAIDCAGR0093980
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.