Kidney Center Of Santa Paula

LBN: Kidney Center Of Santa Paula
Kidney Center Of Santa Paula is an health care organization with primary practice located at 253 March St , Santa Paula CA 93060-2511. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Kidney Center Of Santa Paula can be contacted via phone (805) 525-3977, or through Upponi, Lisa Viral via phone (805) 433-7506.

Contact Information

Primary practice address
253 March St Santa Paula CA 93060-2511
Fax: (805) 525-4746
Website:
Authorized official contact:
Name: Upponi, Lisa Viral

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X California

Profile Details

NPI number 1619912177
LBN Legal business name Kidney Center Of Santa Paula
DBA Doing business as
Authorized official Upponi, Lisa Viral
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jan 7th, 2008 - about 17 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 1619912177 NPPES
California Other ZZZ58738Z BLUE SHIELD
California MEDICAID CDC02800F BLUE SHIELD

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