Active NPI
Monterey Peninsula Nephrology
- Nephrology Physician
- Monterey, CA
National Provider Identifier
1114952769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MONTEREY PENINSULA NEPHROLOGY
- Practice address
- 757 Pacific Street
Suite D-2
Monterey, CA 93940-2819 - Phone
- (831) 375-6802
- Fax
- (831) 375-0958
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Kitaji, M.D.
- Title
- Partner
- Phone
- (831) 625-6802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
757 Pacific Street
Suite D-2
Monterey, CA 93940-2819
Mailing address
757 Pacific Street
Suite D-2
Monterey, CA 93940-2819
Phone (831) 375-6802
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0093830 | Medicaid | CA | |
| 00G376801 | Other | CA | ALL INSURERS |
| 00A640221 | Other | CA | ALL INSURERS |
National Provider Directory
National Provider DirectoryLocations
23845 Holman Hwy
Ste 229
Monterey, CA 93940
Phone (831) 625-6802
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Monterey, CA
- NPI 1346395704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310083200000",
"number": "1114952769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 PACIFIC STREET",
"address_2": "SUITE D-2",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402819",
"telephone_number": "831-375-6802",
"fax_number": "831-375-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 PACIFIC STREET",
"address_2": "SUITE D-2",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402819",
"telephone_number": "831-375-6802",
"fax_number": "831-375-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTEREY PENINSULA NEPHROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2011-07-08",
"status": "A",
"authorized_official_last_name": "KITAJI",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "831-625-6802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0093830",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL INSURERS",
"identifier": "00G376801",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL INSURERS",
"identifier": "00A640221",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
- Monterey Peninsula Anesthesia Medical Group, Inc.
- Monterey Peninsula College
- Monterey Peninsula Dialysis, LLC
- Monterey Peninsula Endodontics
- Monterey Peninsula General Dental Group
- Monterey Peninsula Orthopaedic and Sports Medicine Institute
- Monterey Peninsula Pediatric Medical Group, Inc
- Monterey Peninsula Physical Therapy
- Monterey Peninsula Radiology Group, Inc.
- Monterey Peninsula Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.