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CALIFORNIA KIDNEY MEDICAL GROUP, INC
NPI 1760586705
Internal Medicine - Nephrology in Moorpark, CA

Active since September 11, 2006
13990 BEAR FENCE CT, MOORPARK, CA 93021(818) 718-2301(818) 718-2311 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1760586705) is a healthcare organization registered as a nephrology in Moorpark, California and active in the NPI registry since September 2006. The organization lists Joyce Van Bruck, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760586705
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCALIFORNIA KIDNEY MEDICAL GROUP, INC
Location Address13990 BEAR FENCE CTMoorpark, CA 93021-5022
Mailing AddressPo Box 2160Moorpark, CA 93020-2160 · (818) 718-2301 · Fax (818) 718-2311
Phone(818) 718-2301
Fax(818) 718-2311
Organization SubpartNo
Authorized OfficialJoyce Van BruckAdministrator · (818) 400-6396
Enumeration DateSeptember 11, 2006
Last NPPES UpdateNovember 30, 2016
✔ NPI 1760586705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
13990 BEAR FENCE CT, Moorpark, CA 93021
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Other Identifiers 3

MedicaidGR0087560CA
Medicare PINW14882CA
Medicare PINW14882BCA

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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to California Kidney Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Salah Sonbol, M.D.
Nephrology
NPI 1922008119
227 W JANSS RD SUITE 100
Thousand Oaks, CA 91360
(805) 496-6051
✔ PECOS✔ Accepts Medicare6.1 mi
Jieshi Yan, M.D.
Nephrology
NPI 1396744546
2925 SYCAMORE DR SUITE 160
Simi Valley, CA 93065
(805) 584-0177
✔ PECOS✔ Accepts Medicare7.1 mi
Hamid Sadeghi, M.D.
Nephrology
NPI 1184624785
14624 SHERMAN WAY STE 201
Van Nuys, CA 91405
(818) 901-9906
✔ PECOS✔ Accepts Medicare25 mi
Michael Shwayder, M.D.
Nephrology
NPI 1598783185
6801 PARK TERRACE SUITE 530B
Los Angeles, CA 90045
(310) 301-0015
✔ PECOS35 mi
Edgar Musngi, M.D.
Nephrology
NPI 1871523563
2841 LOMITA BLVD STE 215
Torrance, CA 90505
(310) 379-2860
✔ PECOS✔ Accepts Medicare45 mi
Shashank Kailash, MD
Internal Medicine
NPI 1013441468
2386 CLOWER ST STE C105
Snellville, GA 30078
(678) 344-0334
✔ PECOS✔ Accepts Medicare1,989 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 California Kidney Medical Group, Inc's NPI number?

The NPI number for California Kidney Medical Group, Inc is 1760586705. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is California Kidney Medical Group, Inc located?

California Kidney Medical Group, Inc is located at 13990 Bear Fence Ct, Moorpark, CA 93021. The listed phone number is (818) 718-2301.

What is California Kidney Medical Group, Inc's specialty?

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

Is California Kidney Medical Group, Inc enrolled in Medicare?

Yes. California Kidney Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Kidney Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to California Kidney 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 (5) and Internal Medicine (1). Of these, 2 practice 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 California Kidney Medical Group, Inc was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.