Organization Active NPI

Nephrosant, Inc.

  • Clinical Medical Laboratory
  • Brisbane, CA
National Provider Identifier
1073146841
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEPHROSANT, INC.
Practice address
150 N Hill Dr Ste 10
Brisbane, CA 94005-1023
Phone
(650) 419-7620
Fax
(628) 239-3551
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Beverly Salcedo
Title
VP of Market Access & Reimbursement
Phone
(909) 957-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

150 N Hill Dr Ste 10
Brisbane, CA 94005-1023

Mailing address

150 N Hill Dr Ste 10
Brisbane, CA 94005-1023
Phone (650) 419-7620

National Provider Directory

National Provider Directory

Locations

150 N Hill Dr
Ste 10
Brisbane, CA 94005
Phone (650) 419-7620

150 N Hill Dr
Brisbane, CA 94005
Phone (408) 477-0536

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1073146841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N HILL DR STE 10",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051023",
            "telephone_number": "650-419-7620",
            "fax_number": "628-239-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N HILL DR STE 10",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051023",
            "telephone_number": "650-419-7620",
            "fax_number": "628-239-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROSANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "VP OF MARKET ACCESS & REIMBURSEMENT",
        "authorized_official_telephone_number": "909-957-5940"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brisbane, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.