Dialysis Access Center a Medical Corporation
A Medicare group practice based in Oakland, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062400443), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2062400443
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090109000319 | CA | Part B Supplier - Clinic/Group Practice | 1699852327 |
| O20170607001272 | CA | Part B Supplier - Ambulatory Surgical Center | 1760923445 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Dialysis Access Center a Medical Corporation
- Nephrology Physician
- Oakland, CA
- NPI 1699852327
-
Dialysis Access Center a Medical Corporation
- Ambulatory Surgical Clinic/Center
- Oakland, CA
- NPI 1760923445
Practice locations
- Oakland, CA2
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (2).
-
Oliver K Khakmahd, MD
- Nephrology Physician
- Berkeley, CA
- NPI 1164529830
-
John G Mouratoff, MD
- Nephrology Physician
- Berkeley, CA
- NPI 1538266218
-
Maria Enrica Diaz Pagtalunan, MD
- Nephrology Physician
- Berkeley, CA
- NPI 1629175310
-
Rahul Rishi, M.D.
- Nephrology Physician
- Castro Valley, CA
- NPI 1740243930
-
Vikram Suri, MD, PHD
- Nephrology Physician
- Berkeley, CA
- NPI 1699094292
-
Samuel J Wong, DO
- Nephrology Physician
- Berkeley, CA
- NPI 1215034905
-
Monte M Wu, MD
- Nephrology Physician
- Berkeley, CA
- NPI 1902903578
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.