Organization Active NPI

Monterey Peninsula Nephrology

  • Nephrology Physician
  • Monterey, CA
National Provider Identifier
1114952769
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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

Updated by the provider on Jul 8, 2011

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0093830MedicaidCA
00G376801OtherCAALL INSURERS
00A640221OtherCAALL INSURERS

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.