EAST BAY NEPHROLOGY MEDICAL GROUP, INC.
NPI 1184719809
Internal Medicine - Nephrology in Vallejo, CA
About East Bay Nephrology Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY NEPHROLOGY MEDICAL GROUP, INC. (NPI 1184719809) is a healthcare organization registered as a nephrology in Vallejo, California and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Thomas A Turner, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Bay Nephrology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to East Bay Nephrology Medical Group, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 46Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 of Waiver 05D0701825
East Bay Nephrology Medical Group Inc · Berkeley, CACertificate of Waiver 05D0701826
East Bay Nephrology Medical Group Inc · Vallejo, CACertificate of Waiver 05D0924004
East Bay Nephrology Medical Group Inc · Oakland, CAFrequently 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 East Bay Nephrology Medical Group, Inc.'s NPI number?
The NPI number for East Bay Nephrology Medical Group, Inc. is 1184719809. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is East Bay Nephrology Medical Group, Inc. located?
East Bay Nephrology Medical Group, Inc. is located at 125 Hospital Dr, Vallejo, CA 94589. The listed phone number is (510) 841-4525.
What is East Bay Nephrology Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is East Bay Nephrology Medical Group, Inc. enrolled in Medicare?
Yes. East Bay Nephrology Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Bay Nephrology Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 4 Medicare specialties reassign their Medicare billing to East Bay Nephrology Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (32), Nurse Practitioner (11) and Registered Dietitian or Nutrition Professional (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Bay Nephrology Medical Group, Inc. hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for East Bay Nephrology Medical Group, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# East Bay Nephrology Medical Group, Inc. · NPI 1184719809
Nephrology organization in Vallejo, California. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1184719809 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Thomas Turner, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 125 HOSPITAL DR, Vallejo, CA 94589-2562
- **Phone:** (510) 841-4525 · **Fax:** (510) 848-9970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (32), Nurse Practitioner (11), Registered Dietitian or Nutrition Professional (2); [full list](https://npiprofile.com/npi/1184719809/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid GR0049641 (CA); Other CR0683 (CA)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184719809) · Data from the CMS NPPES public registry.