LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION
NPI 1487033353
Internal Medicine - Nephrology in Los Angeles, CA
About Los Angeles Kidney Center, A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION (NPI 1487033353) is a healthcare organization registered as a nephrology in Los Angeles, California and active in the NPI registry since May 2015. The organization lists Ardavan Mashhadian, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Los Angeles Kidney Center, A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Los Angeles Kidney Center, A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Los Angeles Kidney Center, A Professional Medical Corporation's NPI number?
The NPI number for Los Angeles Kidney Center, A Professional Medical Corporation is 1487033353. It was assigned to this organization in the NPPES registry on May 26, 2015.
Where is Los Angeles Kidney Center, A Professional Medical Corporation located?
Los Angeles Kidney Center, A Professional Medical Corporation is located at 1414 S Grand Ave Ste 100, Los Angeles, CA 90015. The listed phone number is (310) 927-5807.
What is Los Angeles Kidney Center, A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Los Angeles Kidney Center, A Professional Medical Corporation enrolled in Medicare?
Yes. Los Angeles Kidney Center, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Los Angeles Kidney Center, A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Los Angeles Kidney Center, A Professional Medical Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Los Angeles Kidney Center, A Professional Medical Corporation was last updated on August 30, 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.
# Los Angeles Kidney Center, A Professional Medical Corporation · NPI 1487033353
Nephrology organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since May 26, 2015.
## Identity
- **NPI:** 1487033353 (Entity type: Organization)
- **Enumerated:** May 26, 2015
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Ardavan Mashhadian, PHYSICIAN
## Practice location
- **Address:** 1414 S GRAND AVE STE 100, Los Angeles, CA 90015-3071
- **Phone:** (310) 927-5807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487033353) · Data from the CMS NPPES public registry.