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SOUTHLAND RENAL MEDICAL GROUP, INC.
NPI 1730110495
Internal Medicine - Nephrology in Long Beach, CA

Active since July 05, 2006
3300 E. SOUTH STREET, SUITE 308, LONG BEACH, CA 90805(562) 630-3111(562) 630-3107 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2024, May 25, 2021, Mar 30, 2018 (3 updates tracked since 2018).

About Southland Renal Medical Group, Inc. NPPES

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

SOUTHLAND RENAL MEDICAL GROUP, INC. (NPI 1730110495) is a healthcare organization registered as a nephrology in Long Beach, California and active in the NPI registry since July 2006. The organization lists Avedik Semerjian, President, as its authorized official.

NPPES Registry Identity

NPI1730110495
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHLAND RENAL MEDICAL GROUP, INC.
Location Address3300 E. SOUTH STREET, SUITE 308Long Beach, CA 90805-4598
Mailing AddressPo Box 879Lakewood, CA 90714-0879 · (562) 630-3111 · Fax (562) 630-3107
Phone(562) 630-3111
Fax(562) 630-3107
Organization SubpartNo
Authorized OfficialAvedik SemerjianPresident · (562) 630-3111
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1730110495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A46344
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.
3300 E. SOUTH STREET, Long Beach, CA 90805
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0093370CA

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)

Southland Renal Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Southland Renal Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Antiem Bui, D.O.
Nephrology
NPI 1336569300
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts MedicareSame address
Priyanka Gogte, MD
Internal Medicine
NPI 1518453422
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts MedicareSame address
Eric Reyes
Nurse Practitioner
NPI 1740397413
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts MedicareSame address
Bikram Sekhon
Nephrology
NPI 1891039871
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts MedicareSame address
Avedik Semerjian, MD, FACP, FASN
Nephrology
NPI 1831120591
3300 E SOUTH ST 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts MedicareSame address
Michael Fischman, M.D.
Nephrology
NPI 1710326558
3300 E SOUTH ST STE 308
Lakewood, CA 90805
(562) 630-3111
✔ PECOS✔ Accepts MedicareSame address
Jeahee Son, NP
Nurse Practitioner
NPI 1114766425
5450 BEACH BLVD STE 100
Buena Park, CA 90621
(714) 752-6273
✔ PECOS✔ Accepts Medicare9.2 mi

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 Southland Renal Medical Group, Inc.'s NPI number?

The NPI number for Southland Renal Medical Group, Inc. is 1730110495. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Southland Renal Medical Group, Inc. located?

Southland Renal Medical Group, Inc. is located at 3300 E. South Street Suite 308, Long Beach, CA 90805. The listed phone number is (562) 630-3111.

What is Southland Renal Medical Group, Inc.'s specialty?

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

Is Southland Renal Medical Group, Inc. enrolled in Medicare?

Yes. Southland Renal Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Renal Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Southland Renal 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 (4), Nurse Practitioner (2) and Internal Medicine (1). Of these, 6 practice at this address and 7 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 Southland Renal Medical Group, Inc. was last updated on July 8, 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.