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SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC.
NPI 1205934783
Internal Medicine - Nephrology in Garden Grove, CA

Active since September 20, 2006
12665 GARDEN GROVE BLVD, STE 211, GARDEN GROVE, CA 92843(714) 636-2890(714) 636-2909 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern California Kidney Consultants Inc. NPPES

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

SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC. (NPI 1205934783) is a healthcare organization registered as a nephrology in Garden Grove, California and active in the NPI registry since September 2006. The organization maintains 4 additional practice locations and lists Elizabeth A Gonzalez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205934783
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC.
Location Address12665 GARDEN GROVE BLVD, STE 211Garden Grove, CA 92843-1901
Mailing Address12665 Garden Grove Blvd, Ste 211Garden Grove, CA 92843-1901 · (714) 636-2890 · Fax (714) 636-2909
Phone(714) 636-2890
Fax(714) 636-2909
Organization SubpartNo
Authorized OfficialElizabeth A GonzalezAdministrator · (714) 636-2890
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 16, 2018
✔ NPI 1205934783 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 · G24122
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.
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15451 La Palma Ave Ste 47LA Palma, CA 90623-1732 · Phone (714) 562-8560 · Fax (714) 562-8563
Location 2100 E Valencia Mesa Dr Ste 217Fullerton, CA 92835-3800 · Phone (714) 992-5581 · Fax (714) 992-2950
Location 31019 W La Palma Ave Unit AAnaheim, CA 92801-3664 · Phone (714) 956-5200 · Fax (714) 956-4614
Location 41310 W Stewart Dr Ste 210Orange, CA 92868-3837 · Phone (714) 836-4204 · Fax (714) 836-1809

Other Identifiers 1

MedicaidZZZ75439ZCA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Kidney Consultants Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Southern California Kidney Consultants Inc., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nephrology24
Nurse Practitioner5

Nearest to this location (20)

See all 29
Steven Bui, MD
Nephrology
NPI 1154390425
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Ashish Kalthia, MD
Nephrology
NPI 1508880659
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Ramani Nathan, MD
Nephrology
NPI 1487623724
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Mital Patel, MD
Nephrology
NPI 1609223361
12665 GARDEN GROVE BLVD SUITE 211
Garden Grove, CA 92843
(818) 364-3205
✔ PECOS✔ Accepts MedicareSame address
Samir Patel, MD
Nephrology
NPI 1427519552
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Sridhar Reddy, M.D.
Nephrology
NPI 1780835447
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Herbert Tiquia, MD
Nephrology
NPI 1902875693
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Peter Sohn, M.D.
Nephrology
NPI 1225579675
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 453-4203
✔ PECOS✔ Accepts MedicareSame address
Lilimae Sotto
Nurse Practitioner
NPI 1770245904
12665 GARDEN GROVE BLVD STE 211
Garden Grove, CA 92843
(714) 636-2890
✔ PECOS✔ Accepts MedicareSame address
Jiten Mehta, D0
Nephrology
NPI 1861912289
1310 W STEWART DR STE 210
Orange, CA 92868
(714) 836-4204
✔ PECOS✔ Accepts Medicare2.7 mi
Michael Arquilla, M.D.
Nephrology
NPI 1598734832
500 S MAIN ST SUITE 101
Orange, CA 92868
(714) 836-4204
✔ PECOS3.0 mi
Henry Yuan, M.D.
Nephrology
NPI 1043442379
2501 E CHAPMAN AVE
Orange, CA 92869
(714) 771-8000
✔ PECOS✔ Accepts Medicare5.0 mi
Alexander Cheung, M.D
Nephrology
NPI 1912108754
1019 W. LA PALMA AVE. STE A
Anaheim, CA 92801
(714) 956-5200
✔ PECOS✔ Accepts Medicare5.1 mi
Nirav Gandhi, M.D.
Nephrology
NPI 1649263252
1801 W ROMNEYA DR STE 207
Anaheim, CA 92801
(714) 956-5200
✔ PECOS✔ Accepts Medicare5.6 mi
Nausheen Ali, M.D.
Nephrology
NPI 1609869296
1801 W ROMNEYA DR
Anaheim, CA 92801
(714) 956-5200
✔ PECOS✔ Accepts Medicare5.6 mi
Paul Krasner, M.D.
Nephrology
NPI 1477545838
1801 W ROMNEYA DR
Anaheim, CA 92801
(714) 956-5200
✔ PECOS✔ Accepts Medicare5.6 mi
Johanna De Jesus, FNP-C
Nurse Practitioner
NPI 1821711169
14940 CHERRY GROVE CT
Tustin, CA 92780
(626) 377-0642
✔ PECOS✔ Accepts Medicare5.8 mi
Jennifer Stoddard, NP
Nurse Practitioner
NPI 1588175772
1702 E BOLINGER CIR
Orange, CA 92865
(714) 925-7127
✔ PECOS✔ Accepts Medicare6.4 mi
Nancy Hernandez, DO
Nephrology
NPI 1831305879
100 E VALENCIA MESA DR STE 100
Fullerton, CA 92835
(714) 992-5581
✔ PECOS✔ Accepts Medicare8.2 mi
Michiko Kayahara, NP
Nurse Practitioner
NPI 1033513635
5451 LA PALMA AVE STE 47
La Palma, CA 90623
(714) 562-8560
✔ PECOS8.8 mi
See all 29 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern California Kidney Consultants Inc.'s NPI number?

The NPI number for Southern California Kidney Consultants Inc. is 1205934783. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Southern California Kidney Consultants Inc. located?

Southern California Kidney Consultants Inc. is located at 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843. The listed phone number is (714) 636-2890.

What is Southern California Kidney Consultants Inc.'s specialty?

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

Is Southern California Kidney Consultants Inc. enrolled in Medicare?

Yes. Southern California Kidney Consultants Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Kidney Consultants Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern California Kidney Consultants 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 (24) and Nurse Practitioner (5). Of these, 9 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern California Kidney Consultants Inc. was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.