KIDNEY CARE A MEDICAL CORP
NPI 1184737561
Internal Medicine - Nephrology in Los Angeles, CA
About Kidney Care A Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY CARE A MEDICAL CORP (NPI 1184737561) is a healthcare organization registered as a nephrology in Los Angeles, California and active in the NPI registry since August 2006. The organization lists Bialick Tabibian, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidney Care A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
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 Kidney Care A Medical Corp's NPI number?
The NPI number for Kidney Care A Medical Corp is 1184737561. It was assigned to this organization in the NPPES registry on August 17, 2006.
Where is Kidney Care A Medical Corp located?
Kidney Care A Medical Corp is located at 8540 S Sepulveda Blvd Ste 1100, Los Angeles, CA 90045. The listed phone number is (310) 914-9150.
What is Kidney Care A Medical Corp's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney Care A Medical Corp enrolled in Medicare?
Yes. Kidney Care A Medical Corp is registered in the Medicare PECOS enrollment system.
When is Kidney Care A Medical Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Kidney Care A Medical Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kidney Care A Medical Corp · NPI 1184737561
Nephrology organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1184737561 (Entity type: Organization)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Bialick Tabibian, MEDICAL DOCTOR
## Practice location
- **Address:** 8540 S SEPULVEDA BLVD STE 1100, Los Angeles, CA 90045-3819
- **Phone:** (310) 914-9150 · **Fax:** (310) 914-9705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 00A478261 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1184737561) · Data from the CMS NPPES public registry.