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SOUTHLAND RENAL MEDICAL GROUP, INC.
NPI 1205969748
Internal Medicine - Nephrology in Los Alamitos, CA

Active since March 13, 2007
4152 KATELLA AVE STE 201, LOS ALAMITOS, CA 90720(562) 630-3111(562) 630-3107 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2024, Nov 23, 2020, Aug 15, 2018 (3 updates tracked since 2018).

About Southland Renal Medical Group, Inc. NPPES

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

SOUTHLAND RENAL MEDICAL GROUP, INC. (NPI 1205969748) is a healthcare organization registered as a nephrology in Los Alamitos, California and active in the NPI registry since March 2007. The organization lists Avedik Semerjian, Secretary, as its authorized official.

NPPES Registry Identity

NPI1205969748
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHLAND RENAL MEDICAL GROUP, INC.
Location Address4152 KATELLA AVE STE 201Los Alamitos, CA 90720-6608
Mailing Address3300 E. South Street, Suite 308Long Beach, CA 90805-4598 · (562) 630-3111 · Fax (562) 630-3107
Phone(562) 630-3111
Fax(562) 630-3107
Organization SubpartYes
Authorized OfficialAvedik SemerjianSecretary · (562) 630-3111
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1205969748 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 · A46344
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.
4152 KATELLA AVE STE 201, Los Alamitos, CA 90720
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Other Identifiers 1

MedicaidGR0093371CA

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)

Southland Renal Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Southland Renal Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jeahee Son, NP
Nurse Practitioner
NPI 1114766425
5450 BEACH BLVD STE 100
Buena Park, CA 90621
(714) 752-6273
✔ PECOS✔ Accepts Medicare6.6 mi
Antiem Bui, D.O.
Nephrology
NPI 1336569300
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts Medicare6.6 mi
Priyanka Gogte, MD
Internal Medicine
NPI 1518453422
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts Medicare6.6 mi
Eric Reyes
Nurse Practitioner
NPI 1740397413
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts Medicare6.6 mi
Bikram Sekhon
Nephrology
NPI 1891039871
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts Medicare6.6 mi
Avedik Semerjian, MD, FACP, FASN
Nephrology
NPI 1831120591
3300 E SOUTH ST 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts Medicare6.6 mi
Michael Fischman, M.D.
Nephrology
NPI 1710326558
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts Medicare6.6 mi

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 Southland Renal Medical Group, Inc.'s NPI number?

The NPI number for Southland Renal Medical Group, Inc. is 1205969748. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Southland Renal Medical Group, Inc. located?

Southland Renal Medical Group, Inc. is located at 4152 Katella Ave Ste 201, Los Alamitos, CA 90720. The listed phone number is (562) 630-3111.

What is Southland Renal Medical Group, Inc.'s specialty?

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

Is Southland Renal Medical Group, Inc. enrolled in Medicare?

Yes. Southland Renal Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Renal Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Southland Renal 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 (4), Nurse Practitioner (2) and Internal Medicine (1). Of these, 7 practice 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 Southland Renal Medical Group, Inc. was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.