COAST NEPHROLOGY MEDICAL GROUP INC.
NPI 1053317826
Internal Medicine - Nephrology in Long Beach, CA

Active since June 24, 2005CLIA 05D0554309 · Microscopy
3780 KILROY AIRPORT WAY, STE 115, LONG BEACH, CA 90806(562) 595-7426(562) 989-3054 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coast Nephrology Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COAST NEPHROLOGY MEDICAL GROUP INC. (NPI 1053317826) is a healthcare organization registered as a nephrology in Long Beach, California and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Alan I Erlbaum, President, as its authorized official.

NPPES Registry Identity

NPI1053317826
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOAST NEPHROLOGY MEDICAL GROUP INC.
Location Address3780 KILROY AIRPORT WAY, STE 115Long Beach, CA 90806-2458
Mailing Address3780 Kilroy Airport Way, Ste 115Long Beach, CA 90806-2458 · (562) 595-7426 · Fax (562) 989-3054
Fax(562) 989-3054
Organization SubpartNo
Authorized OfficialAlan I ErlbaumPresident · (562) 595-7426
Enumeration DateJune 24, 2005
Last NPPES UpdateAugust 2, 2007
NPI 1053317826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · BU94027460
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.
3780 KILROY AIRPORT WAY, Long Beach, CA 90806

Other Identifiers 2

MedicaidGR0055750CA
Medicare ID-Type UnspecifiedW12019ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0554309

Coast Nephrology Medical Group, Inc · Long Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0554309
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKaren A. Zoller
Laboratory Phone(562) 595-7426
Laboratory LocationCoast Nephrology Medical Group, Inc3780 Kilroy Airport Way #115, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
3780 KILROY AIRPORT WAY, 115
LONG BEACH, CA 90806
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3780 KILROY AIRPORT WAY, 110
LONG BEACH, CA 90806
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3780 KILROY AIRPORT WAY, SUITE 110
LONG BEACH, CA 90806
Marriage & Family Therapist
3780 KILROY AIRPORT WAY
LONG BEACH, CA 90806
Private Vehicle
3780 KILROY AIRPORT WAY
LONG BEACH, CA 90806
Nurse Practitioner (Family)
3780 KILROY AIRPORT WAY, SUITE 110
LONG BEACH, CA 90806
Psychologist
3780 KILROY AIRPORT WAY, SUITE 370
LONG BEACH, CA 90806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coast Nephrology Medical Group Inc.'s NPI number?

The NPI number for Coast Nephrology Medical Group Inc. is 1053317826. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Coast Nephrology Medical Group Inc. located?

Coast Nephrology Medical Group Inc. is located at 3780 Kilroy Airport Way Ste 115, Long Beach, CA 90806. The listed phone number is (562) 595-7426.

What is Coast Nephrology Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Coast Nephrology Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0554309) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coast Nephrology Medical Group Inc. was last updated on August 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.