KIDNEY DISEASE MEDICAL GROUP INC
NPI 1740392810
Specialist in Glendale, CA
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
Specialties & Licenses
Other Identifiers 9
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)
Kidney Disease Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Kidney Disease Medical Group Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Kidney Disease Medical Group Inc enrolled in Medicare?
Yes. Kidney Disease Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidney Disease Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Disease 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 (8), Internal Medicine (3) and Nurse Practitioner (1). Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Kidney Disease Medical Group Inc · NPI 1740392810
Specialist organization in Glendale, California. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1740392810 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Dariush Arfaania, PRESIDENT OF THE GROUP
## Practice location
- **Address:** 1505 WILSON TER, SUITE #155, Glendale, CA 91206-4071
- **Phone:** (818) 500-4055 · **Fax:** (818) 500-4065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (8), Internal Medicine (3), Nurse Practitioner (1); 5 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2014
- **Other identifiers:** Medicaid 00A529500 (CA); Medicare ID-Type Unspecified WA60891A; Medicare ID-Type Unspecified WA34361A; and 6 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740392810) · Data from the CMS NPPES public registry.