Organization Active NPI

Beach Cities Nephrology

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1225015944
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BEACH CITIES NEPHROLOGY
Practice address
20911 Earl Street
Suite 320
Torrance, CA 90503
Phone
(310) 542-7997
Fax
(310) 542-2607
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Donald Warren Inadomi, MD
Title
General Partner
Phone
(310) 542-7997

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X G6215 CA
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

20911 Earl Street
Suite 320
Torrance, CA 90503

Mailing address

20911 Earl Street
Suite 320
Torrance, CA 90503
Phone (310) 542-7997

Other identifiers 1

IdentifierTypeStateIssuer
GR0049450MedicaidCA

Other names 1

  • Beach Cities Nephrology Medical Group Other name

National Provider Directory

National Provider Directory

Locations

1045 W Redondo Beach Blvd
Ste 115
Gardena, CA 90247
Phone (310) 527-7355

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1225015944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL STREET",
            "address_2": "SUITE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-542-7997",
            "fax_number": "310-542-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL STREET",
            "address_2": "SUITE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-542-7997",
            "fax_number": "310-542-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "INADOMI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "310-542-7997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G6215",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0049450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Cities Nephrology Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.