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KIDNEY CARE SERVICES OF HUMBOLDT
NPI 1457734741
Internal Medicine - Nephrology in Eureka, CA

Active since July 04, 2015
1651 MYRTLE AVE STE C, EUREKA, CA 95501(707) 599-6700(888) 475-8698 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Apr 30, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Kidney Care Services Of Humboldt NPPES

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

KIDNEY CARE SERVICES OF HUMBOLDT (NPI 1457734741) is a healthcare organization registered as a nephrology in Eureka, California and active in the NPI registry since July 2015. The organization maintains 2 additional practice locations and lists James Lee Wynn, Admin Aide, as its authorized official.

NPPES Registry Identity

NPI1457734741
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE SERVICES OF HUMBOLDT
Location Address1651 MYRTLE AVE STE CEureka, CA 95501-1495
Mailing Address1651 Myrtle Ave Ste CEureka, CA 95501-1495 · (707) 599-6700 · Fax (888) 475-8698
Phone(707) 599-6700
Fax(888) 475-8698
Organization SubpartNo
Authorized OfficialJames Lee WynnAdmin Aide · (707) 599-6700
Enumeration DateJuly 4, 2015
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1457734741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · 23313
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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
1651 MYRTLE AVE STE C, Eureka, CA 95501
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Secondary Practice Locations 2

Location 11550 Heartwood DrMcKinleyville, CA 95519-3984 · Phone (707) 839-4465 · Fax (707) 839-4734
Location 22765 Timber Ridge LnEureka, CA 95503-4885 · Phone (707) 445-2033 · Fax (707) 445-8026

Other Identifiers 1

MedicaidRN846580CA

Other Providers at the Same Location NPPES

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

ANGELA BETH SMITH CNP
Nurse Practitioner (Adult Health)
1651 MYRTLE AVE STE C
EUREKA, CA 95501
Humboldt County (707) 599-6700

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 Services Of Humboldt's NPI number?

The NPI number for Kidney Care Services Of Humboldt is 1457734741. It was assigned to this organization in the NPPES registry on July 4, 2015.

Where is Kidney Care Services Of Humboldt located?

Kidney Care Services Of Humboldt is located at 1651 Myrtle Ave Ste C, Eureka, CA 95501. The listed phone number is (707) 599-6700.

What is Kidney Care Services Of Humboldt's specialty?

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

When was this NPI record last updated?

The NPPES record for Kidney Care Services Of Humboldt was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.