CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION - NPI 1366550675

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

On this page

About Central Coast Nephrology Medical Corporation NPPES

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

CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION (NPI 1366550675) is a healthcare organization registered as a nephrology in Salinas, California and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Barbara Lois Rever, President, as its authorized official.

NPPES Registry Identity

NPI1366550675

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameCENTRAL COAST NEPHROLOGY MEDICAL CORPORATION

Location Address917 BLANCO CIRCLESalinas, CA 93901-4446

Mailing Address917 Blanco CircleSalinas, CA 93901-4446 · (831) 755-7999 · Fax (831) 755-7975

Phone(831) 755-7999

Fax(831) 755-7975

Organization SubpartNo

Authorized OfficialBarbara Lois ReverPresident · (831) 755-7999

Enumeration DateAugust 27, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1366550675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in CA · A36123✔ Licensed in CA · G308710✔ Licensed in CA · G507670✔ Licensed in CA · A66902✔ Licensed in CA · A767040✔ Licensed in CA · A116032

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.

917 BLANCO CIRCLE, Salinas, CA 93901

Open in Google Maps ↗

Other Identifiers 6

Medicaid00A669020CA

Medicaid00A767040CA

Medicaid00G507670CA

Medicaid00G308710CA

Medicaid00A361230CA

OtherZZZ24103ZCA · Medicare Ptan Anna Malkina, Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 05D2164875

Central Coast Nephrology · Gilroy, CA

Active · expires Apr 14, 2027

CLIA Number05D2164875

Laboratory TypePhysician Office

Certificate Effective DateApril 15, 2025

Certificate Expiration DateApril 14, 2027

Laboratory DirectorDennis Phan

Laboratory Phone(831) 755-7999

Laboratory LocationCentral Coast Nephrology8095 Camino Arroyo, Suite 200, Gilroy, CA 95020

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2164154

Central Coast Nephrology · Marina, CA

Active · expires Mar 27, 2027

CLIA Number05D2164154

Laboratory TypePhysician Office

Certificate Effective DateMarch 28, 2025

Certificate Expiration DateMarch 27, 2027

Laboratory DirectorBarbara Rever

Laboratory Phone(831) 755-7999

Laboratory LocationCentral Coast Nephrology930 2nd Avenue, Suite A, Marina, CA 93933

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BARBARA LOIS REVER MD

Internal Medicine (Nephrology)