Organization Active NPI

Nephrology Medical Group Inc of Orange County

  • Nephrology Physician
  • Anaheim, CA
National Provider Identifier
1093776304
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY
Practice address
1019 W la Palma Ave Unit a
Anaheim, CA 92801-3664
Phone
(714) 956-5200
Fax
(714) 956-4614
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Leonard Shapiro, MD
Title
Doctor
Phone
(714) 956-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1019 W la Palma Ave Unit a
Anaheim, CA 92801-3664

Mailing address

1019 W la Palma Ave Unit a
Anaheim, CA 92801-3664
Phone (714) 956-5200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0582291Nephrology Medical Group1019 West la Palma Ave Ste a, Anaheim, CA 92801Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1801 W Romneya Dr
Ste 207
Anaheim, CA 92801
Phone (714) 956-5200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1093776304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 W LA PALMA AVE UNIT A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013664",
            "telephone_number": "714-956-5200",
            "fax_number": "714-956-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 W LA PALMA AVE UNIT A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013664",
            "telephone_number": "714-956-5200",
            "fax_number": "714-956-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL GROUP INC OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-956-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.