Organization Active NPI

Capital Nephrology Medical Group

  • Specialist
  • Sacramento, CA
National Provider Identifier
1235150400
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAPITAL NEPHROLOGY MEDICAL GROUP
Doing business as
Capital Nephrology Medical Group
Practice address
333 University Ave Ste 120
Sacramento, CA 95825-6532
Phone
(916) 929-8564
Fax
(916) 929-4529
NPI assigned
Jul 22, 2006
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Christina Tani
Title
Accounts Manager
Phone
(916) 426-1949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

333 University Ave Ste 120
Sacramento, CA 95825-6532

Mailing address

1111 Exposition Blvd Ste 300
Sacramento, CA 95815-4324
Phone (916) 929-8564

Other identifiers 1

IdentifierTypeStateIssuer
GR0015060MedicaidCA

Other names 1

  • Capital Nephrology Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050209000991 CA Part B Supplier - Clinic/Group Practice 5799736427 Receives reassigned benefits from 22 practitioners
Practice locations: Woodland, CA; Folsom, CA; Sacramento, CA; Elk Grove, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0959465Capital Nephrology Medical Group333 University Ave Ste 120, Sacramento, CA 95825Provider-performed microscopyApr 12, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4005 Manzanita Ave
Ste 17
Carmichael, CA 95608
Phone (916) 483-3241

7919 Pebble Beach Dr
Ste 201
Citrus Heights, CA 95610
Phone (916) 961-7391

2208 Kausen Dr
Elk Grove, CA 95758

2218 Kausen Dr
Ste 103
Elk Grove, CA 95758
Phone (916) 683-8774

1600 Creekside Dr
Ste 3600
Folsom, CA 95630
Phone (916) 540-7070

9267 Greenback Ln
Ste A2
Orangevale, CA 95662
Phone (916) 988-5666

3071 Gold Canal Dr
Rancho Cordova, CA 95670
Phone (916) 638-8429

2980 Advantage Way
Sacramento, CA 95834
Phone (916) 575-7658

3161 L St
Lowr
Sacramento, CA 95816
Phone (916) 561-5891

333 University Ave
Ste 120
Sacramento, CA 95825
Phone (916) 929-8564

4401 Mack Rd
Sacramento, CA 95823
Phone (916) 738-3575

7502 Hospital Dr
Sacramento, CA 95823

8243 E Stockton Blvd
Ste C
Sacramento, CA 95828

3450 Industrial Blvd
West Sacramento, CA 95691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1235150400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154324",
            "telephone_number": "916-929-8564",
            "fax_number": "916-929-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 UNIVERSITY AVE STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256532",
            "telephone_number": "916-929-8564",
            "fax_number": "916-929-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEPHROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "TANI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "916-426-1949"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0015060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Nephrology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.