Active NPI
Beach Cities Nephrology
- Nephrology Physician
- Torrance, CA
National Provider Identifier
1225015944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G6215 | CA | |
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0049450 | Medicaid | CA |
Other names 1
- Beach Cities Nephrology Medical Group
National Provider Directory
National Provider DirectoryLocations
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.