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 2905 Telegraph Ave , Berkeley CA 94705-2063. 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
2905 Telegraph Ave Berkeley CA 94705-2063
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 1871699074
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 Sep 15th, 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 1871699074 NPPES
California MEDICAID GR0049640
California Other CR0683

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