Organization Active NPI

Hypertension Nephrology & Internal Medicine Group Inc

  • Nephrology Physician
  • Santa Maria, CA
National Provider Identifier
1194757252
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HYPERTENSION NEPHROLOGY & INTERNAL MEDICINE GROUP INC
Practice address
1401 E Main St
Santa Maria, CA 93454-4801
Phone
(805) 349-0198
Fax
(805) 349-9004
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Mr. Muthiyaliah Babu, M.D.
Title
Administrator
Phone
(805) 349-0198

Specialties & licenses 1

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

Addresses

Primary practice location

1401 E Main St
Santa Maria, CA 93454-4801

Mailing address

1401 E Main St
Santa Maria, CA 93454-4801
Phone (805) 349-0198

Other identifiers 1

IdentifierTypeStateIssuer
00A415330MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1194757252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544801",
            "telephone_number": "805-349-0198",
            "fax_number": "805-349-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544801",
            "telephone_number": "805-349-0198",
            "fax_number": "805-349-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERTENSION NEPHROLOGY & INTERNAL MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BABU",
        "authorized_official_first_name": "MUTHIYALIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-349-0198",
        "authorized_official_name_prefix": "Mr.",
        "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": "00A415330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.