Active NPI
Reebu Kohli, M.D.
- Nephrology Physician
- Sylmar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A101494
- Practice address
- 14445 Olive View Drive
Sylmar, CA 91342 - Phone
- (818) 364-3205
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A101494 | CA | Primary |
Addresses
Primary practice location
14445 Olive View Drive
Sylmar, CA 91342
Mailing address
14445 Olive View Drive
Sylmar, CA 91342
Phone (818) 364-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 W 39TH Ave
Hos316Ms
San Mateo, CA 94403-4364
222 W 39TH Ave
San Mateo, CA 94403-4364
306 Spruce Ave
South San Francisco, CA 94080-2741
Phone (650) 573-2222
Hospital & facility affiliations
- San Mateo Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101494 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| East Bay Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
| County of San Mateo | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| East Bay Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
Locations
2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411
3043 Summit St
Oakland, CA 94609
Phone (510) 451-6840
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
14020 San Pablo Ave
Ste A
San Pablo, CA 94806
Phone (510) 235-1057
125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510
Interoperability endpoints
- rkohli19788@smch.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Nephrology Physician
- Vallejo, CA
- NPI 1184719809
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Nephrology Physician
- Berkeley, CA
- NPI 1871699074
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Mateo, CA
- NPI 1003985755
-
- General Acute Care Hospital
- San Mateo, CA
- NPI 1386713030
-
- Federally Qualified Health Center (FQHC)
- Redwood City, CA
- NPI 1386728533
Hospital
-
- Federally Qualified Health Center (FQHC)
- Redwood City, CA
- NPI 1568540557
Hospital
-
- Federally Qualified Health Center (FQHC)
- South San Francisco, CA
- NPI 1750460671
Hospital
-
- Federally Qualified Health Center (FQHC)
- Half Moon Bay, CA
- NPI 1841379765
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1003068321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DRIVE",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-364-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DRIVE",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-364-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLI",
"first_name": "REEBU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A101494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.