| California Kidney Specialists | |
|
1335 W Cypress Ave San Dimas CA 91773-3537 | |
| (909) 542-2770 | |
| (909) 394-1800 |
| Full Name | California Kidney Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 1335 W Cypress Ave, San Dimas, California |
| Authorized Official Name and Position | Roya Tahmassebi (OFFICE MANAGER) |
| Authorized Official Contact | 9095422770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Kidney Specialists 1335 W Cypress Ave San Dimas CA 91773-3537 Ph: (909) 542-2770 | California Kidney Specialists 1335 W Cypress Ave San Dimas CA 91773-3537 Ph: (909) 542-2770 |
| NPI Number | 1760497457 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 0345232096 |
|---|---|
| Medicare Enrollment ID | O20040401000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760497457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Michael H Bien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689680654 PECOS PAC ID: 9931191681 Enrollment ID: I20040401000827 |
| Provider Name | Aamir Z Jamal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558377523 PECOS PAC ID: 5698718252 Enrollment ID: I20051128000810 |
| Provider Name | Eduardo J Nam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578760641 PECOS PAC ID: 4587684923 Enrollment ID: I20051130000883 |
| Provider Name | Mohammad Akmal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356378087 PECOS PAC ID: 1557377892 Enrollment ID: I20071129000157 |
| Provider Name | Mojtaba Moghadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932114733 PECOS PAC ID: 9335186519 Enrollment ID: I20091203000598 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659395754 PECOS PAC ID: 0143212894 Enrollment ID: I20091204000584 |
| Provider Name | Claudio I Gallego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285649962 PECOS PAC ID: 7416990072 Enrollment ID: I20091230000142 |
| Provider Name | Amna Arif Rizvi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841483609 PECOS PAC ID: 8022141944 Enrollment ID: I20100729000249 |
| Provider Name | Nitia Bhasin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669790838 PECOS PAC ID: 3971628470 Enrollment ID: I20100920001142 |
| Provider Name | Abid A Rizvi |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1255582540 PECOS PAC ID: 0345410197 Enrollment ID: I20110902000460 |
| Provider Name | Jingbo Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386955862 PECOS PAC ID: 2668780834 Enrollment ID: I20151013000773 |
| Provider Name | Andrew B Yue |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861792541 PECOS PAC ID: 8224354188 Enrollment ID: I20160825001041 |
| Provider Name | Christopher C Wong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881985612 PECOS PAC ID: 3173819547 Enrollment ID: I20160912000361 |
| Provider Name | Jennifer V Stoddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588175772 PECOS PAC ID: 3971862475 Enrollment ID: I20180108002697 |
| Provider Name | Vishal Govil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851751853 PECOS PAC ID: 7315293206 Enrollment ID: I20180706002611 |
| Provider Name | Shahid Syed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174910848 PECOS PAC ID: 5092067348 Enrollment ID: I20200625002236 |
| Provider Name | Jim H Nguyen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417338898 PECOS PAC ID: 8921309816 Enrollment ID: I20200625002750 |
| Provider Name | Amin Motaref |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639608631 PECOS PAC ID: 2567846280 Enrollment ID: I20220830002228 |
| Provider Name | Bahman J Moghadam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215432190 PECOS PAC ID: 2961850631 Enrollment ID: I20231120001159 |
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