Organization Active NPI

Renal Medical Group

  • Specialist
  • Visalia, CA
National Provider Identifier
1013189539
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A040793 Issued in CA
Legal business name
RENAL MEDICAL GROUP
Practice address
515 S Locust St
Visalia, CA 93277-2616
Phone
(559) 625-4630
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Smith IV, M.D.NPI 1851452148
Title
Partner
Phone
(559) 625-4630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A040793 CA Primary

Addresses

Primary practice location

515 S Locust St
Visalia, CA 93277-2616

Mailing address

515 S Locust St
Visalia, CA 93277-2616
Phone (559) 625-4630

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1013189539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S LOCUST ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772616",
            "telephone_number": "559-625-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S LOCUST ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772616",
            "telephone_number": "559-625-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-625-4630",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A040793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.