CALIFORNIA KIDNEY MEDICAL GROUP INC
NPI 1659537835
Surgery - Vascular Surgery in Northridge, CA

Q: What is California Kidney Medical Group Inc's NPI number?

The NPI number for California Kidney Medical Group Inc is 1659537835. It was assigned to this organization in the NPPES registry on August 6, 2008.

Q: What is California Kidney Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since August 06, 2008

18546 ROSCOE BLVD, SUITE 120, NORTHRIDGE, CA 91324(818) 886-3773 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About California Kidney Medical Group Inc NPPES

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

CALIFORNIA KIDNEY MEDICAL GROUP INC (NPI 1659537835) is a healthcare organization registered as a vascular surgery in Northridge, California and active in the NPI registry since August 2008. The organization lists Lily Krastein, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659537835

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameCALIFORNIA KIDNEY MEDICAL GROUP INC

Location Address18546 ROSCOE BLVD, SUITE 120Northridge, CA 91324-4663

Mailing AddressPo Box 940838Simi Valley, CA 93094-0838 · (805) 433-7507

Phone(818) 886-3773

Organization SubpartNo

Authorized OfficialLily KrasteinAdministrator · (805) 433-7507

Enumeration DateAugust 6, 2008

✔ NPI 1659537835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · G83840

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

18546 ROSCOE BLVD, Northridge, CA 91324

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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

Other Providers at the Same Location NPPES 20

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

JEAN GRANT HAWKINS MD FCCP

Internal Medicine (Pulmonary Disease)

18546 ROSCOE BLVD, #308
NORTHRIDGE, CA 91324

Los Angeles County (818) 349-2931

ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC

Psychologist

18546 ROSCOE BLVD, STE 210
NORTHRIDGE, CA 91324

Los Angeles County (818) 886-5628

KIDNEY DIALYSIS CENTER OF NORTHRIDGE,LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

18546 ROSCOE BLVD, SUITE # 108
NORTHRIDGE, CA 91324

Los Angeles County (818) 886-3771

MICHAEL W. BARSOM, MD, AMC

Psychiatry & Neurology (Psychiatry)

18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324

Los Angeles County (818) 886-5628

DIANA K SHORE

Nutritionist (Nutrition, Education)

18546 ROSCOE BLVD, SUITE 230
NORTHRIDGE, CA 91324

Los Angeles County (818) 886-1100

MINAS KOCHUMIAN, MD, A MEDICAL CORPORATION

Non-Pharmacy Dispensing Site

18546 ROSCOE BLVD, 312
NORTHRIDGE, CA 91324

Los Angeles County (818) 709-5154

PHILIP S SHORE MD

Family Medicine

18546 ROSCOE BLVD, SUITE 230
NORTHRIDGE, CA 91324

Los Angeles County (818) 886-1100

EHAB S YACOUB M.D.

Psychiatry & Neurology (Psychiatry)

18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324

Los Angeles County (818) 886-5628

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 California Kidney Medical Group Inc's NPI number?

The NPI number for California Kidney Medical Group Inc is 1659537835. It was assigned to this organization in the NPPES registry on August 6, 2008.

Where is California Kidney Medical Group Inc located?

California Kidney Medical Group Inc is located at 18546 Roscoe Blvd Suite 120, Northridge, CA 91324. The listed phone number is (818) 886-3773.

What is California Kidney Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for California Kidney Medical Group Inc was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.