DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNA INC (NPI# 1669436648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669436648 |
Entity Type | Organization |
Organization Name | DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNA INC |
Other Organization Name | DAVITA RENAL SPECIALISTS OF CALIFORNIA MEDICAL CORPORATION |
Practice Address |
15141 E Whittier Blvd Ste 225 Whittier CA 90603 |
Mailing Address |
Po Box 2355 Tacoma WA 98401 |
Practice Telephone | 5626983536 |
Practice Fax Number | 5626983945 |
Mailing Telephone | 8003104872 |
Mailing Fax Number | 8773284923 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2020-08-22 |
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 |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0093980 | 05 |
Other Name | Type Code |
---|---|
DaVita Renal Specialists of California Medical Corporation | Doing Business As Name - Organization |
Street Address |
15141 E WHITTIER BLVD STE 225 |
City | WHITTIER |
State | CA |
Zip Code | 90603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861551392 | Friendly Hills Medical Center Pharmacy Inc | Pharmacy | 15141 E Whittier Blvd, Suite 115, Whittier, CA 90603-2135 | 2006-12-08 |
1477504629 | Valerie Helene Sinkus | Physical Therapist | 15141 E Whittier Blvd, Ste 100, Whittier, CA 90603-2156 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811512858 | In2vison Programs LLC | Health Educator | 16131 Whittier Blvd, Suite 100, Whittier, CA 90603 | 2020-06-16 |
1255972717 | Omid Hamid Barkhordar Dental, Inc | Clinic/Center | 16461 Whittier Blvd., Whittier, CA 90603 | 2019-10-04 |
1124441746 | Nami H. Jun | Pharmacist | 9436 Portada Drive, Whitter, CA 90603 | 2014-02-03 |
1730520024 | Jamshid Azizzadeh | Dentist | 15030 Whittier Blvd. #106, Whittier, CA 90603 | 2013-07-15 |
1518239730 | Melissa Mejia | Physical Therapist | 16405 Whittier Boulevard, Whittier, CA 90603 | 2012-02-03 |
1053696005 | Will Max | Counselor | 10155 Colima Road, Whittier, CA 90603 | 2011-10-20 |
1215168588 | R.e. Mayer, D.d.s., P.C. | Dentist | 15141 E. Whittier Blvd., Suite 255, Whittier, CA 90603 | 2009-08-04 |
1487784096 | Cynthia Lee Schroder | Counselor | 10155 Colima Rd., Whittier, CA 90603 | 2007-03-06 |
1275679524 | Bach Trong Le | Dentist | 16157 E. Whittier Blvd, Whittier, CA 90603 | 2007-01-30 |
1710032958 | Brian Carroll Chung | Oral & Maxillofacial Surgery | 16315 E Whittier Blvd, #201, Whittier, CA 90603 | 2007-01-25 |
Find all providers in zip 90603 |
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 |
---|---|---|---|---|
1245474378 | Laleh Boroujerdi-rad | Internal Medicine | 14350 Whittier Blvd Ste 101, Whittier, CA 90605-2164 | 2009-04-20 |
1205814837 | Hassan Boroujerdi-rad | Internal Medicine | 14350 East Whittier Blvd, 101, Whittier, CA 90605-2138 | 2006-01-04 |
1093132649 | Willy Singh Do Inc | Internal Medicine | 11147 Washington Blvd, Whittier, CA 90606-3007 | 2014-03-20 |
1528374170 | Dorsa Nasseri Maryska M.d., Inc. | Internal Medicine | 11147 Washington Blvd., Whittier, CA 90606-3007 | 2010-08-20 |
1265587075 | Willy Singh | Internal Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2007-01-24 |
1659485589 | Whittier Internal Medicine and Nephrology Medical Group Inc | Internal Medicine | 12462 Putnam St., #506, Whittier, CA 90602-1002 | 2006-08-18 |
1053326587 | Hassan Boroujerdi Md Inc | Internal Medicine | 14350 Whittier Blvd, 101, Whittier, CA 90605-2138 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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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.