SOUTHLAND RENAL MEDICAL GROUP, INC (NPI# 1447383971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447383971 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND RENAL MEDICAL GROUP, INC |
| Practice Address |
2865 Atlantic Ave Suite 101 Long Beach CA 90806-1740 |
| Mailing Address |
3650 South St Suite 301 Lakewood CA 90712-1502 |
| Practice Telephone | 5624270350 |
| Practice Fax Number | 5606303107 |
| Mailing Telephone | 5626303111 |
| Mailing Fax Number | 5626303107 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | SANDRA RODRIGUEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 5626303111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A46344 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0093372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134252679 | Southland Renal Medical Group, Inc | Internal Medicine | 18111 Brookhurst St Ste 6700, Fountain Valley, CA 92708 | 2007-03-13 |
| 1851589600 | Southland Renal Medical Group, Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2007-10-05 |
| 1992838429 | Southland Renal Medical Group, Inc | Internal Medicine | 11480 Brookshire Ave, Suite 110, Downey, CA 90241 | 2007-03-13 |
| Street Address |
2865 ATLANTIC AVE SUITE 101 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829092 | Gene Ray Bouch | Family Medicine | 2865 Atlantic Ave, Ste 206, Long Beach, CA 90806-7423 | 2005-05-24 |
| 1114547056 | Opal Patel | Student in an Organized Health Care Education/Training Program | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2020-04-21 |
| 1710507710 | Drake Khoi Dinh | Pharmacist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2020-04-20 |
| 1639730047 | Dana Brems | Podiatrist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2019-06-26 |
| 1194388033 | Jamie Reynar | Physical Therapist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2019-04-16 |
| 1932652633 | Pain Doctors Md Medical Corporation | Pain Medicine | 2865 Atlantic Ave, 226, Long Beach, CA 90806-1740 | 2016-07-28 |
| 1134586209 | Kristeen Derrick | Physician Assistant | 2865 Atlantic Ave, Suite 205, Long Beach, CA 90806-1740 | 2016-01-20 |
| 1578939369 | Allhealth Professional Corp | Internal Medicine | 2865 Atlantic Ave, Suite 226, Long Beach, CA 90806-1740 | 2015-08-14 |
| 1881012201 | Prohealth Partners A Medical Group Inc | Orthopaedic Surgery | 2865 Atlantic Ave, Suite 221, Long Beach, CA 90806-1740 | 2014-04-02 |
| 1164769535 | Gregory S Thomas Md Mph Corporation | Internal Medicine | 2865 Atlantic Ave, Suite 104, Long Beach, CA 90806-1740 | 2013-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710140561 | Sapna Singh Patel | Internal Medicine | 2888 Long Beach Blvd Ste 235, Long Beach, CA 90806-1562 | 2008-07-02 |
| 1558558189 | Beach Medical Group Inc | Internal Medicine | 5318 E 2nd St Ste 100, Long Beach, CA 90803-5324 | 2007-09-27 |
| 1285767475 | Anna Jin | Internal Medicine | Lbvamc, 5901 E. Seventh Street, 11-111n Dialysis Unit (south 9th Floor), Long Beach, CA 90822 | 2007-03-14 |
| 1518985613 | Arvind J Mehta | Internal Medicine | 2785 Pacific Ave, Suite A, Long Beach, CA 90806-2612 | 2006-07-17 |
| 1730110495 | Southland Renal Medical Group, Inc. | Internal Medicine | 3300 E. South Street, Suite 308, Long Beach, CA 90805-4598 | 2006-07-05 |
| 1699772350 | George G Hon | Internal Medicine | 3610 Long Beach Blvd, Suite 201, Long Beach, CA 90807-4012 | 2005-07-07 |
| 1053317826 | Coast Nephrology Medical Group Inc. | Internal Medicine | 3780 Kilroy Airport Way, Ste 115, Long Beach, CA 90806-2458 | 2005-06-24 |
| 1659376606 | John T Hsieh | Internal Medicine | 3780 Kilroy Airport Way Ste 115, Long Beach, CA 90806 | 2005-06-16 |
| 1235600420 | Asn Long Beach Nephro Care LLC | Internal Medicine | 2888 Long Beach Blvd Ste 235, Long Beach, CA 90806-1562 | 2018-12-16 |
| 1245697325 | John Hsieh Md Inc | Internal Medicine | 3780 Kilroy Airport Way, 115, Long Beach, CA 90806-2457 | 2016-01-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.