NPIMap

Organization Active NPI

Kidney Care of Acadiana in Lafayette

  • Clinic/Center
  • Lafayette, LA
National Provider Identifier
1245304674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
261Q00000X Issued in LA
Legal business name
KIDNEY CARE OF ACADIANA IN LAFAYETTE
Practice address
224 Saint Landry St
Suite 3-C
Lafayette, LA 70506-3549
Phone
(337) 231-5511
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Masoud Yazdi, MD
Title
Owner Medical Direc Tor
Phone
(337) 233-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 261Q00000X LA Primary

Addresses

Primary practice location

224 Saint Landry St
Suite 3-C
Lafayette, LA 70506-3549

Mailing address

224 Saint Landry St
Suite 3-C
Lafayette, LA 70506-3549
Phone (337) 231-5511

Other identifiers 1

IdentifierTypeStateIssuer
1116394MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245304674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST",
            "address_2": "SUITE 3-C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063549",
            "telephone_number": "337-231-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST",
            "address_2": "SUITE 3-C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063549",
            "telephone_number": "337-231-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE OF ACADIANA IN LAFAYETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER MEDICAL DIREC TOR",
        "authorized_official_telephone_number": "337-233-3538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.