PEDIATRIC KIDNEY CENTER INC (NPI# 1821304403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821304403 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC KIDNEY CENTER INC |
| Practice Address |
5309 Aurora Way Bakersfield CA 93306-7808 |
| Mailing Address |
Po Box 60238 Bakersfield CA 93386-0238 |
| Practice Telephone | 3103090403 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | DR. NIMISHA AMIN (PRESIDENT) |
| Authorized Official Telephone | 3103090403 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
A93348 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5309 AURORA WAY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-7808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104066877 | Lyndon & Belinda Senar Mds Inc | Pediatrics | 9840 Brimhall Rd, Bakersfield, CA 93312-2791 | 2009-02-20 |
| 1396989091 | Lyndon and Belinda Senar Mds Inc | Pediatrics | 1524 27th St, Suite 202, Bakersfield, CA 93301-2055 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653080 | Nihar Bhakta | Pediatrics | 3430 Sitio Sandia, Carlsbad, CA 92009-8483 | 2019-01-18 |
| 1659504959 | Nianzhou Xiao | Pediatrics | 9300 Valley Childrens Pl Dept Of, Madera, CA 93636-8761 | 2009-09-02 |
| 1306052667 | James En-cheh Tong | Pediatrics | 533 Parnassus Ave # U-585, San Francisco, CA 94143-2208 | 2007-05-15 |
| 1487874954 | Elizabeth Michelle Talley | Pediatrics | 300 Pasteur Dr Rm G306, Stanford, CA 94305-2200 | 2007-04-26 |
| 1831266048 | Paul Scott Kurtin | Pediatrics | 1157 Solana Dr, Del Mar, CA 92014-3907 | 2006-11-30 |
| 1780773721 | Hma Mahdavi | Pediatrics | 1760 Termino Ave Ste 214, Long Beach, CA 90804-2169 | 2006-10-11 |
| 1801982301 | Gary Robert Lerner | Pediatrics | 4650sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-04 |
| 1841214376 | Cynthia Wong | Pediatrics | 300 Pasteur Drive, G306, Stanford, CA 94305-5208 | 2006-07-27 |
| 1285667659 | Pediatric Renal Medical Corporation | Pediatrics | 9 Candela, Irvine, CA 92620-1823 | 2006-07-09 |
| 1760425383 | Orawan Sitburana | Pediatrics | 11109 Mcgirk Ave, El Monte, CA 91731-1623 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.