DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC (NPI# 1134189574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134189574 |
| Entity Type | Organization |
| Organization Name | DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC |
| Other Organization Name | NORTH TEXAS KIDNEY CONSULTANTS |
| Practice Address |
3030 Matlock Rd Suite 205 Arlington TX 75243 |
| Mailing Address |
Po Box File #57025 Los Angeles CA 90074-0001 |
| Practice Telephone | 8173750610 |
| Practice Fax Number | 8173750640 |
| Mailing Telephone | 8003104872 |
| Mailing Fax Number | 8773284923 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | MR. ANTHONY EFTHIM GABRIEL (OWNER PRESIDENT SECRETARY TREASURER) |
| Authorized Official Telephone | 8003104872 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 177068701 | 05 |
| Other Name | Type Code |
|---|---|
| North Texas Kidney Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093755324 | Davita Nephrology Medical Associates of California Inc | Internal Medicine | 3515 Swiss Ave Fl B2, Dallas, TX 75204-6223 | 2006-06-07 |
| 1902846231 | Davita Nephrology Medical Associates of California Inc | Internal Medicine | 1323 East Franklin Street, Hill Regional Medical Office Building, Hillsboro, TX 76648 | 2006-06-07 |
| 1700826039 | Davita Nephrology Medical Associates of California Inc | Internal Medicine | 4708 Alliance Blvd, Ste 770, Plano, TX 76093 | 2006-06-07 |
| 1013977461 | Davita Nephrology Medical Associates of California Inc | Internal Medicine | 1360 Burton Dr, Suite 160, Vacaville, CA 95687-3539 | 2006-03-27 |
| Street Address |
3030 MATLOCK RD SUITE 205 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 75243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790977411 | Ntkc Management, LLC | Internal Medicine | 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 | 2007-08-16 |
| 1992922256 | Davita Nephrology Medical Associates of Ca, Inc. | Specialist | 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 | 2007-04-19 |
| 1689748576 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 3030 Matlock Rd, Suite 108, Arlington, TX 76015-2935 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1104088780 | Nimra Sarfaraz | Internal Medicine | 8200 Matlock Rd Ste 160, Arlington, TX 76002-4806 | 2008-06-25 |
| 1285829440 | Ammar Al-laham | Internal Medicine | 4907 S Collins St Ste 101, Arlington, TX 76018-1157 | 2007-09-11 |
| 1912091463 | Thomas Anthony Rakowski | Internal Medicine | 1635 North George Mason Drive, Suite 215, Arlington, VA 22205-3606 | 2006-10-02 |
| 1134166143 | Stephen John Chalmers | Internal Medicine | 1132 S. Bowen Rd., Arlington, TX 76013 | 2006-05-31 |
| 1245295989 | Majd I Jaradat | Internal Medicine | 4907 S Collins St, Suite 101, Arlington, TX 76018-1156 | 2006-04-18 |
| 1487646295 | Ponnaiah C. Mohan | Internal Medicine | 3125 Matlock Rd Ste 107, Arlington, TX 76015-2905 | 2005-08-17 |
| 1093713422 | James Alan Ramenofsky | Internal Medicine | 1625 N George Mason Dr, Suite 425, Arlington, VA 22205-3683 | 2005-07-11 |
| 1619449402 | Renal Specialists of North Texas Pllc | Internal Medicine | 3125 Matlock Rd Ste 107, Arlington, TX 76015-2905 | 2018-12-18 |
| 1194035667 | Hanna Thomas | Internal Medicine | 8200 Matlock Rd Ste 160, Arlington, TX 76002-4806 | 2010-10-18 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.