East Bay Nephrology Medical Group, Inc.

LBN: East Bay Nephrology Medical Group, Inc.
East Bay Nephrology Medical Group, Inc. is an health care organization with primary practice located at 125 Hospital Dr , Vallejo CA 94589-2562. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. East Bay Nephrology Medical Group, Inc. can be contacted via phone (510) 841-4525, or through Turner, Thomas A via phone (510) 841-0411.

Contact Information

Primary practice address
125 Hospital Dr Vallejo CA 94589-2562
Phone: (510) 841-4525
Fax: (510) 848-9970
Website:
Map and Directions
Authorized official contact:
Name: Turner, Thomas A
Phone: (510) 841-0411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1184719809
LBN Legal business name East Bay Nephrology Medical Group, Inc.
DBA Doing business as
Authorized official Turner, Thomas A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184719809 NPPES
California Other CR0683 RAILROAD MEDICARE GROUP #
California MEDICAID GR0049641 RAILROAD MEDICARE GROUP #

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