EL CAMINO RENAL MEDICAL GROUP, INC (NPI# 1770560914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770560914 |
Entity Type | Organization |
Organization Name | EL CAMINO RENAL MEDICAL GROUP, INC |
Practice Address |
515 South Dr Suite 12 Mountain View CA 94040-4204 |
Practice Telephone | 6509887944 |
Practice Fax Number | 6509643608 |
Mailing Telephone | 6509887944 |
Mailing Fax Number | 6509643608 |
Enumeration Date | 2005-12-29 |
Last Update Date | 2017-10-31 |
Authorized Official Name | BRIAN JAMES CARRIE (DIRECTOR) |
Authorized Official Telephone | 6509887944 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ZZZ77355Z | 05 |
Street Address |
515 SOUTH DR SUITE 12 |
City | MOUNTAIN VIEW |
State | CA |
Zip Code | 94040-4204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629460753 | Tiffany Gilpin | Registered Nurse | 515 South Dr, #25, Mountain View, CA 94040-4204 | 2015-02-26 |
1902237068 | Rodney Z. Wong, M.d., Inc. | Orthopaedic Surgery | 515 South Dr, #16, Mountain View, CA 94040-4204 | 2013-11-27 |
1144656471 | Leonard and Maria Fu Professional Corporation | Dentist | 515 South Dr, Ste 10b, Mountain View, CA 94040-4204 | 2013-09-18 |
1801126404 | Heena S Vora | Physical Therapist | 515 South Dr, Mountain View, CA 94040-4204 | 2010-01-04 |
1982839155 | Duet Plastic Surgery, A Medical Corporation | Plastic Surgery | 515 South Dr, Suite 25, Mountain View, CA 94040-4204 | 2009-05-18 |
1093973729 | Robin Malone Cisco | Surgery | 515 South Dr, Suite 25, Mountain View, CA 94040-4204 | 2008-05-29 |
1245260090 | Wen Jung Lin | Pediatrics | 515 South Dr, Suite 14, Mountain View, CA 94040-4204 | 2006-07-04 |
1619921574 | Stuart Weisman | Internal Medicine | 515 South Dr, Suite 12, Mountain View, CA 94040-4204 | 2006-05-22 |
1487607271 | Camino Medical Group | Internal Medicine | 515 South Dr, Mountain View, CA 94040-4204 | 2006-05-19 |
1669425062 | Rodney Zeman Wong | Orthopaedic Surgery | 515 South Dr, #16, Mountain View, CA 94040-4209 | 2006-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
Find all providers in zip 94040 |
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 |
---|---|---|---|---|
1205989639 | Brigitte M Schiller-moran | Internal Medicine | 401 Castro St, Mountain View, CA 94041-2089 | 2007-01-19 |
1124317540 | Patrick Mcglynn | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2011-04-06 |
1902912132 | Mitra Sorooshian | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-21 |
1487607271 | Camino Medical Group | Internal Medicine | 515 South Dr, Mountain View, CA 94040-4204 | 2006-05-19 |
1104803097 | George Oscar Ting | Internal Medicine | 515 South Dr, Ste 12, Mountain View, CA 94040 | 2005-12-30 |
1689651820 | Shahrzad Zarghamee | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2005-12-29 |
1851378095 | Brian James Carrie | Internal Medicine | 515 South Dr, Ste 12, Mountain View, CA 94040 | 2005-12-29 |
1134106388 | Cynthia Lin | Internal Medicine | 515 South Dr, Suite 12, Mountain View, CA 94040-4204 | 2005-12-29 |
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1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
Find all providers with the same taxonomy |
City | MOUNTAIN VIEW |
Zip Code | 94040 |
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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.