SUMMIT NEPHROLOGY MEDICAL GROUP, INC (NPI# 1962575449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962575449 |
| Entity Type | Organization |
| Organization Name | SUMMIT NEPHROLOGY MEDICAL GROUP, INC |
| Practice Address |
151 N Sunrise Ave Ste. 1205 Roseville CA 95661-2926 |
| Practice Telephone | 9167891505 |
| Practice Fax Number | 9167891513 |
| Mailing Telephone | 9167891505 |
| Mailing Fax Number | 9167891513 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | DR. ADARSH BHAT (C.O.O.) |
| Authorized Official Telephone | 9167891505 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
20A7602 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A72684 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A69494 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A92471 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A117327 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A92610 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A107133 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A107520 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0100970 | 05 |
| Street Address |
151 N SUNRISE AVE STE. 1205 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559003 | David Robert Dame | Chiropractor | 151 N Sunrise Ave, Ste 1413, Roseville, CA 95661-2934 | 2005-06-28 |
| 1194333559 | Laurie Mathias | Speech-Language Pathologist | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-07-21 |
| 1679198709 | Stanford Youth Solutions | Community/Behavioral Health | 151 N Sunrise Ave, Suite 811/ 813, Roseville, CA 95661-2924 | 2020-06-15 |
| 1154953370 | Alyssa Morford | Physical Therapist | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-02-05 |
| 1134759376 | Anna Vue | Nurse Practitioner | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-01-16 |
| 1992246730 | Jennifer L Ochoa | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-13 |
| 1588104111 | Adijat Oladipo | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-01 |
| 1326588955 | Angelica Maria Manzo Graham | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-01 |
| 1821537176 | Deborah Plante Md PC | Internal Medicine | 151 N Sunrise Ave, Suite 611, Roseville, CA 95661-2924 | 2017-02-20 |
| 1275078784 | Molly Hyland | Occupational Therapist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2016-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1750647285 | Piper Julie Hughes | Internal Medicine | 151 N Sunrise Ave Ste 1205, Roseville, CA 95661-2932 | 2012-04-10 |
| 1104948280 | Ameer Abdulrazzak | Internal Medicine | 18001 E 10 Mile, Suite 1, Roseville, MI 48066-3803 | 2007-04-06 |
| 1881647584 | Abdul R Effendi | Internal Medicine | 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 | 2006-05-17 |
| 1912909540 | Jukaku Tayeb | Internal Medicine | 18001 E 10 Mile Rd, Suite 1, Roseville, MI 48066-3803 | 2005-08-12 |
| 1326272501 | Neetu Sharma | Internal Medicine | 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 | 2009-05-04 |
| 1619101805 | Don N Chang | Internal Medicine | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2924 | 2009-05-04 |
| 1124265822 | Sourabh Kharait | Internal Medicine | 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2924 | 2009-01-16 |
| 1467616433 | Marrouf Azar | Internal Medicine | 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 | 2008-07-17 |
| 1144484924 | Heather Lynn Henderson | Internal Medicine | 18001 E 10 Mile Rd, Suite 1, Roseville, MI 48066-3803 | 2008-07-11 |
| 1932396496 | Kidney Consultants of Michigan PC | Internal Medicine | 25710 Kelly Rd Ste 1, Roseville, MI 48066 | 2007-09-28 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on SUMMIT NEPHROLOGY MEDICAL GROUP, INC.
| 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.