Specialty Medical Group Central California - Dept. Of Nephrology

LBN: Specialty Medical Group Central California - Dept. Of Nephrology
Specialty Medical Group Central California - Dept. Of Nephrology is an health care organization with primary practice located at 9300 Valley Childrens Pl Se13, Madera CA 93636-8761. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is the primary health care specialty. Specialty Medical Group Central California - Dept. Of Nephrology can be contacted via phone (559) 353-5770, or through Diaz, Ralph P. via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Se13 Madera CA 93636-8761
Phone: (559) 353-5770
Fax: (559) 353-5822
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Ralph P. Doctor of Medicine (MD)
Phone: (559) 353-5700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X California

Profile Details

NPI number 1710168919
LBN Legal business name Specialty Medical Group Central California - Dept. Of Nephrology
DBA Doing business as
Authorized official Diaz, Ralph P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - 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 1710168919 NPPES
California MEDICAID GR007868A

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