| California Kidney Care | |
|
1736 Professional Dr Sacramento CA 95825-2105 | |
| (916) 500-4706 | |
| (916) 200-4999 |
| Full Name | California Kidney Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1736 Professional Dr, Sacramento, California |
| Authorized Official Name and Position | Abdul Nuristani (OWNER) |
| Authorized Official Contact | 9165004706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Kidney Care Po Box 980934 W Sacramento CA 95798-0934 Ph: (916) 500-4706 | California Kidney Care 1736 Professional Dr Sacramento CA 95825-2105 Ph: (916) 500-4706 |
| NPI Number | 1194242313 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 0648536029 |
|---|---|
| Medicare Enrollment ID | O20171117003052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194242313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A121191 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | A121191 (California) | Primary |
| Provider Name | Abdul Nuristani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245467273 PECOS PAC ID: 5698926616 Enrollment ID: I20121121000071 |
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