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EAST BAY NEPHROLOGY MEDICAL GROUP, INC.
NPI 1871699074
Internal Medicine - Nephrology in Berkeley, CA

Active since September 15, 2006CLIA 05D0701825 · Waiver
2905 TELEGRAPH AVE, BERKELEY, CA 94705(510) 841-4525(510) 848-9970 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Bay Nephrology Medical Group, Inc. NPPES

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

EAST BAY NEPHROLOGY MEDICAL GROUP, INC. (NPI 1871699074) is a healthcare organization registered as a nephrology in Berkeley, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Thomas A Turner, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1871699074
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEAST BAY NEPHROLOGY MEDICAL GROUP, INC.
Location Address2905 TELEGRAPH AVEBerkeley, CA 94705-2063
Mailing Address2905 Telegraph AveBerkeley, CA 94705-2063 · (510) 841-4525 · Fax (510) 848-9970
Phone(510) 841-4525
Fax(510) 848-9970
Organization SubpartNo
Authorized OfficialThomas A TurnerChief Operating Officer · (510) 841-0411
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1871699074 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.

2905 TELEGRAPH AVE, Berkeley, CA 94705
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Other Identifiers 2

MedicaidGR0049640CA
OtherCR0683CA · Railroad Medicare Group #

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 05D0701825

East Bay Nephrology Medical Group Inc · Berkeley, CA
Active · expires Aug 31, 2026
CLIA Number05D0701825
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSamuel Wong
Laboratory Phone(510) 841-4525
Laboratory LocationEast Bay Nephrology Medical Group Inc2905 Telegraph Ave, Berkeley, CA 94705
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.

DR. DONALD A BLOCK MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
CLAUDIA I IOTA-HERBEI
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
DR. ROBERT B DOUD MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
DR. MALCOLM L KARLINSKY MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
DR. TERINA M MILLER MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
DR. ELLEN C MORRISSEY MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
DR. SWATI P PATEL MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411
DR. MARIO L CORONA MD
Internal Medicine (Nephrology)
2905 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-0411

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 East Bay Nephrology Medical Group, Inc.'s NPI number?

The NPI number for East Bay Nephrology Medical Group, Inc. is 1871699074. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is East Bay Nephrology Medical Group, Inc. located?

East Bay Nephrology Medical Group, Inc. is located at 2905 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 841-4525.

What is East Bay Nephrology Medical Group, Inc.'s specialty?

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

Does East Bay Nephrology Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0701825) is associated with this NPI, valid through August 31, 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 East Bay Nephrology Medical Group, Inc. was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.