Central Coast Nephrology Medical Corporation
A Medicare group practice based in Gilroy, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2466495759), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2466495759
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050607001368 | CA | Part B Supplier - Clinic/Group Practice | 1366550675 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Central Coast Nephrology Medical Corporation
- Nephrology Physician
- Salinas, CA
- NPI 1366550675
-
Barbara Lois Rever, MD
- Nephrology Physician
- Salinas, CA
- NPI 1255410262
Practice locations
- Salinas, CA1
- Marina, CA1
- Gilroy, CA1
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (11).
-
Raymond Richard Carrillo Jr., MD
- Nephrology Physician
- Salinas, CA
- NPI 1265511273
-
Michael Eugene Dicus, MD
- Nephrology Physician
- Salinas, CA
- NPI 1447339452
-
Sheila Faytaren
- Adult Health Nurse Practitioner
- Salinas, CA
- NPI 1154861409
-
Kavitha Hubbard, M.D.
- Nephrology Physician
- Los Gatos, CA
- NPI 1124058805
-
Robert Tristian Isom, M.D.
- Nephrology Physician
- Portland, ME
- NPI 1356428072
-
Gopal Gollapudi Krishna, MD
- Nephrology Physician
- Salinas, CA
- NPI 1073692083
-
Aaron Ross Ledbetter, NP
- Acute Care Nurse Practitioner
- Gilroy, CA
- NPI 1114747607
-
Anna Malkina, M.D.
- Nephrology Physician
- San Francisco, CA
- NPI 1851626949
-
Megan Fitzmaurice May, M.D.
- Internal Medicine Physician
- Salinas, CA
- NPI 1407155211
-
Dennis Namphong Phan, MD
- Nephrology Physician
- Salinas, CA
- NPI 1437238342
-
Barbara Lois Rever, MD
- Nephrology Physician
- Salinas, CA
- NPI 1255410262
-
Thang Duc Vu, A.N.P.
- Adult Health Nurse Practitioner
- Salinas, CA
- NPI 1073800504
-
Hongqing Zhang, FNP
- Family Nurse Practitioner
- Hollister, CA
- NPI 1114481041
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.