Pediatric Renal Medical Corporation

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

A48316 Issued in CA

Legal business name

PEDIATRIC RENAL MEDICAL CORPORATION

Practice address

9 Candela
Irvine, CA 92620-1823

Phone

(714) 669-3173

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deepak Kumar Rajpoot, M.D.

Title

Ceo

Phone

(714) 669-3173

Specialties & licenses 1

Addresses

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)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristina Farkas-Skiles, MD

  • Pediatrics Physician
  • Long Beach, CA
  • NPI 1306231998
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1285667659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CANDELA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201823",
            "telephone_number": "714-669-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CANDELA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201823",
            "telephone_number": "714-669-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC RENAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "RAJPOOT",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-669-3173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CA",
            "license": "A48316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Peckham
• Pedersen Professional Dental
• Daniel L Pedersen, D.D.S.
• Pedes Orange County, Inc
• Pediatric Dermatology of Orange County PC
• Pediatric Sleep, Adoption and Development Clinic, Inc.
• Joelle Diane Pedue
• Kaitlyn Bailey Peelle
• Paul Roland Peffer, M.S.W.
• Leah Grace Pegg I, LEAH PEGG

• Pediatric Nephrology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.