Davita Nephrology Medical Associates Of Ca INC

Internal Medicine, Nephrology in San Jose, CA. Organization (NPI-2).

NPI number1275719932

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1275719932
Entity type: Organization (NPI-2)
Legal business name: Davita Nephrology Medical Associates Of Ca INC
Organization subpart: No
Enumeration date: Jan 12, 2008
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RN0300X	Internal Medicine, Nephrology	–	CA	Yes

Other names

South Bay Kidney And Hypertension Consultants INC (Doing Business As)

Practice location

125 Ciro Ave
Ste 110
San Jose, CA 95128-1671

Phone 408-885-0690 · Fax 408-885-1503

Mailing address

125 Ciro Ave
Ste 110
San Jose, CA 95128-1671

Phone 408-885-0690 · Fax 408-885-1503

Authorized official

Anthony E Gabriel
Owner President
4088850690

Is something wrong?

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Other Nephrology Physician providers in San Jose, CA

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