California Kidney Disease Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A121191 Issued in CA

Legal business name

CALIFORNIA KIDNEY DISEASE ASSOCIATES

Practice address

1736 Professional Dr
Sacramento, CA 95825-2105

Phone

(916) 500-4706

Fax

(916) 200-4999

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Abdul Nuristani, MDNPI 1245467273

Title

Owner

Phone

(916) 500-4706

Specialties & licenses 2

Addresses

Other names 1

• California Kidney Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Abdul W Nuristani, M.D.

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1245467273

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1194242313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980934",
            "city": "W SACRAMENTO",
            "state": "CA",
            "postal_code": "957980934",
            "telephone_number": "916-500-4706",
            "fax_number": "916-200-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252105",
            "telephone_number": "916-500-4706",
            "fax_number": "916-200-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA KIDNEY DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "NURISTANI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-500-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A121191",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A121191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nephrology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.