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KIDNEY DISEASE MEDICAL GROUP INC
NPI 1740392810
Specialist in Glendale, CA

Active since August 31, 2006CLIA 05D1092140 · Waiver
1505 WILSON TER, SUITE #155, GLENDALE, CA 91206(818) 500-4055(818) 500-4065 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidney Disease Medical Group Inc NPPES

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

KIDNEY DISEASE MEDICAL GROUP INC (NPI 1740392810) is a healthcare organization registered as a specialist in Glendale, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Dariush Arfaania, President Of The Group, as its authorized official.

NPPES Registry Identity

NPI1740392810
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKIDNEY DISEASE MEDICAL GROUP INC
Location Address1505 WILSON TER, SUITE #155Glendale, CA 91206-4071
Mailing Address1505 Wilson Ter, Suite #155Glendale, CA 91206-4071 · (818) 500-4055 · Fax (818) 500-4065
Phone(818) 500-4055
Fax(818) 500-4065
Organization SubpartNo
Authorized OfficialDariush ArfaaniaPresident Of The Group · (818) 500-4055
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 28, 2014
✔ NPI 1740392810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1505 WILSON TER, Glendale, CA 91206
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Other Identifiers 9

Medicaid00A529500CA
Medicare ID-Type UnspecifiedWA60891A
Medicare ID-Type UnspecifiedWA34361A
Medicaid00A608910CA
Medicare UPING30594
Medicare UPINH28964
Medicare ID-Type UnspecifiedWA52950B
Medicare UPINA27463
Medicaid00A343610CA

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

CLIA Laboratory Certificates CMS CLIA

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 05D1092140

Kidney Disease Medical Group · Glendale, CA
Active · expires Nov 17, 2026
CLIA Number05D1092140
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorDariush Arfaania MD
Laboratory Phone(818) 500-4055
Laboratory LocationKidney Disease Medical Group1505 Wilson Terrace #155, Glendale, CA 91206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

WAYNE SIU ET AL PTR
Pharmacy (Community/Retail Pharmacy)
1505 WILSON TER, STE 100
GLENDALE, CA 91206
Los Angeles County (818) 409-8392
DR. MIHRAN SHIRINIAN
Internal Medicine (Hematology & Oncology)
1505 WILSON TER, SUITE 340
GLENDALE, CA 91206
Los Angeles County (818) 543-7574
DR. HRAIR A KOUTNOUYAN MD
Otolaryngology
1505 WILSON TER, #270
GLENDALE, CA 91206
Los Angeles County (818) 241-2101
DR. ANITA KAMARZARIAN MD
Internal Medicine (Nephrology)
1505 WILSON TER, SUITE #155
GLENDALE, CA 91206
Los Angeles County (818) 500-4055
DR. PHILIP ORMOND MERRITT M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1505 WILSON TER, SUITE 200
GLENDALE, CA 91206
Los Angeles County (818) 246-8974
ANNA N STEWART MD
Internal Medicine
1505 WILSON TER, SUITE 320
GLENDALE, CA 91206
Los Angeles County (818) 545-7418
BERNADETTE ANNE LIM D.O.
Family Medicine
1505 WILSON TER, SUITE 250
GLENDALE, CA 91206
Los Angeles County (818) 246-7115
IVET SARKISSIAN PEKACHEKI M.S., R.D.
Dietitian, Registered
1505 WILSON TER, # 155
GLENDALE, CA 91206
Los Angeles County (818) 500-4055

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 Disease Medical Group Inc's NPI number?

The NPI number for Kidney Disease Medical Group Inc is 1740392810. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Kidney Disease Medical Group Inc located?

Kidney Disease Medical Group Inc is located at 1505 Wilson Ter Suite #155, Glendale, CA 91206. The listed phone number is (818) 500-4055.

What is Kidney Disease Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Kidney Disease Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1092140) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kidney Disease Medical Group Inc was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.