EAST BAY NEPHROLOGY MEDICAL GROUP, INC. – NPI #1871699074
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

EAST BAY NEPHROLOGY MEDICAL GROUP, INC. is a provider located in BERKELEY, CA. NPPES has assigned the NPI number 1871699074 to EAST BAY NEPHROLOGY MEDICAL GROUP, INC. on September 15, 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 4 years ago on Jul 21, 2022. 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 EAST BAY NEPHROLOGY MEDICAL GROUP, INC. below.

NPI Profile for
EAST BAY NEPHROLOGY MEDICAL GROUP, INC.

NPI Number
1871699074
Enumeration Date

(more than 19 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
EAST BAY NEPHROLOGY MEDICAL GROUP, INC.
Primary location
2905 TELEGRAPH AVE
BERKELEY, CA 94705-2063
Phone: (510) 841-4525 Fax: (510) 848-9970
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS TURNER
CHIEF OPERATING OFFICER
Phone: (510) 841-0411
Updated
Identifiers

Identifiers for EAST BAY NEPHROLOGY 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
OTHERRAILROAD MEDICARE GROUP #CACR0683
MEDICAIDCAGR0049640
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.