NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY
NPI 1093776304
Internal Medicine - Nephrology in Anaheim, CA

Active since March 28, 2006CLIA 05D0582291 · Microscopy
1019 W LA PALMA AVE UNIT A, ANAHEIM, CA 92801(714) 956-5200(714) 956-4614 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nephrology Medical Group Inc Of Orange County NPPES

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

NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY (NPI 1093776304) is a healthcare organization registered as a nephrology in Anaheim, California and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Leonard Shapiro, Doctor, as its authorized official.

NPPES Registry Identity

NPI1093776304
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY
Location Address1019 W LA PALMA AVE UNIT AAnaheim, CA 92801-3664
Mailing Address1019 W La Palma Ave Unit AAnaheim, CA 92801-3664 · (714) 956-5200 · Fax (714) 956-4614
Fax(714) 956-4614
Organization SubpartNo
Authorized OfficialLeonard ShapiroDoctor · (714) 956-5200
Enumeration DateMarch 28, 2006
Last NPPES UpdateSeptember 6, 2016
NPI 1093776304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
1019 W LA PALMA AVE UNIT A, Anaheim, CA 92801

Other Identifiers 1

Medicare ID-Type UnspecifiedW1088CA

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) 05D0582291

Nephrology Medical Group · Anaheim, CA
Active · expires Aug 31, 2026
CLIA Number05D0582291
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJorgem Mandelbaum
Laboratory Phone(714) 956-5200
Laboratory LocationNephrology Medical Group1019 West La Palma Ave Ste A, Anaheim, CA 92801
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.

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 Nephrology Medical Group Inc Of Orange County's NPI number?

The NPI number for Nephrology Medical Group Inc Of Orange County is 1093776304. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Nephrology Medical Group Inc Of Orange County located?

Nephrology Medical Group Inc Of Orange County is located at 1019 W La Palma Ave Unit A, Anaheim, CA 92801. The listed phone number is (714) 956-5200.

What is Nephrology Medical Group Inc Of Orange County's specialty?

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

Does Nephrology Medical Group Inc Of Orange County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0582291) 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 Nephrology Medical Group Inc Of Orange County was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.