Davita Renal Specialists Of California Medical Corporation
LBN: Davita Nephrology Medical Associates Of California Inc
Davita Renal Specialists Of California Medical Corporation is an health care organization with primary practice located at 1360 Burton Dr Suite 160, Vacaville CA 95687-3539. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Davita Nephrology Medical Associates Of California Inc can be contacted via phone (707) 446-4379, or through Gabriel, Anthony via phone (303) 626-6103.
Contact Information
Primary practice address
1360 Burton Dr Suite 160
Vacaville CA 95687-3539
Phone: (707) 446-4379
Fax: (707) 446-4417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X |
Profile Details
| NPI number | 1013977461 |
|---|---|
| LBN Legal business name | Davita Nephrology Medical Associates Of California Inc |
| DBA Doing business as | Davita Renal Specialists Of California Medical Corporation |
| Authorized official | Gabriel, Anthony Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 21st, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013977461 | NPPES |
| California | Other | DA5762 | RR RET BOARD MED RR CARR |
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