EL CAMINO RENAL MEDICAL GROUP, INC


Address: 515 South Dr, Suite 12, Mountain View, CA 94040-4204
Phone: 6509887944

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZZ77355Z 05

Office Location

Street Address 515 SOUTH DR
SUITE 12
City MOUNTAIN VIEW
State CA
Zip Code 94040-4204

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MOUNTAIN VIEW
Zip Code 94040

Improve Information

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Dataset Information

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.

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