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EAST BAY NEPHROLOGY MEDICAL GROUP, INC
NPI 1265527980
Internal Medicine - Nephrology in Oakland, CA

Active since October 04, 2006
3043 SUMMIT ST, OAKLAND, CA 94609(510) 841-0411(510) 845-5030 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1265527980) is a healthcare organization registered as a nephrology in Oakland, California and active in the NPI registry since October 2006. The organization lists Thomas A Turner, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1265527980
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEAST BAY NEPHROLOGY MEDICAL GROUP, INC
Location Address3043 SUMMIT STOakland, CA 94609-3408
Mailing Address2905 Telegraph AveBerkeley, CA 94705-2063 · (510) 841-0411 · Fax (510) 845-5030
Phone(510) 841-0411
Fax(510) 845-5030
Organization SubpartNo
Authorized OfficialThomas A TurnerChief Operating Officer · (510) 841-0411
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1265527980 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.
3043 SUMMIT ST, Oakland, CA 94609
Open in Google Maps ↗

Other Identifiers 3

OtherCR0683CA · Railroad Medicare Group #
Medicare ID-Type UnspecifiedZZZ38950ZCA · Group Number
MedicaidGR0049642CA

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)

East Bay Nephrology Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to East Bay Nephrology Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 28 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nephrology32
Nurse Practitioner11
Registered Dietitian or Nutrition Professional2
Internal Medicine1

Nearest to this location (20)

See all 46
Susan Leung, RD
Registered Dietitian or Nutrition Professional
NPI 1184255903
3012 SUMMIT ST STE 2615
Oakland, CA 94609
(510) 869-6740
✔ Accepts Medicare0.1 mi
Rahitha Thomas, NP
Nurse Practitioner
NPI 1568991701
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS2.6 mi
Monte Wu, MD
Nephrology
NPI 1902903578
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Mario Corona, MD
Nephrology
NPI 1679670301
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Robert Doud, MD
Nephrology
NPI 1184721821
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Claudia Iota Herbei
Nephrology
NPI 1548367113
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Oliver Khakmahd, MD
Nephrology
NPI 1164529830
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Terry Maher, MD
Nephrology
NPI 1972600229
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS2.6 mi
Veena Manjunath, M.D.
Nephrology
NPI 1255599270
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Terina Miller, MD
Nephrology
NPI 1669579348
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Ellen Morrissey, MD
Nephrology
NPI 1003913781
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS2.6 mi
John Mouratoff, MD
Nephrology
NPI 1538266218
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Golaun Odabaei, M.D
Nephrology
NPI 1306072640
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS✔ Accepts Medicare2.6 mi
Maria Pagtalunan, MD
Nephrology
NPI 1629175310
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS✔ Accepts Medicare2.6 mi
Chhaya Patel, MS, RD
Registered Dietitian or Nutrition Professional
NPI 1952776791
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ Accepts Medicare2.6 mi
Swati Patel, MD
Nephrology
NPI 1437256120
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-0411
✔ PECOS✔ Accepts Medicare2.6 mi
Akosua Appea, FNP
Nurse Practitioner
NPI 1669214367
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS✔ Accepts Medicare2.6 mi
Helen Mwanza, NP
Nurse Practitioner
NPI 1538635966
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS✔ Accepts Medicare2.6 mi
Eva Raphael, FNP-C
Nurse Practitioner
NPI 1487226452
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS✔ Accepts Medicare2.6 mi
Jessica Ruano
Nurse Practitioner
NPI 1568106995
2905 TELEGRAPH AVE
Berkeley, CA 94705
(510) 841-4525
✔ PECOS✔ Accepts Medicare2.6 mi
See all 46 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 East Bay Nephrology Medical Group, Inc's NPI number?

The NPI number for East Bay Nephrology Medical Group, Inc is 1265527980. 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 3043 Summit St, Oakland, CA 94609. The listed phone number is (510) 841-0411.

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). Of these, 28 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 East Bay Nephrology Medical Group, Inc was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.