Pacific Nephrology Associates Medical Group, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PACIFIC NEPHROLOGY ASSOCIATES MEDICAL GROUP, PC

Practice address

1211 W la Palma Ave Ste 102
Anaheim, CA 92801-2809

Phone

(888) 762-9030

Fax

(714) 445-0245

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. William Lynn Kuhl

Title

VP Operations

Phone

(714) 445-0236

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joseph Michael Ruggio, MD

  • Cardiovascular Disease Physician
  • Orange, CA
  • NPI 1124023163
  NPD

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1295258341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST STE 600",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267341",
            "telephone_number": "888-762-9030",
            "fax_number": "714-445-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012809",
            "telephone_number": "888-762-9030",
            "fax_number": "714-445-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NEPHROLOGY ASSOCIATES MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "KUHL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "714-445-0236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Dental Clinic
• Pacific Gis Dba Sultan Adult Day Health Care Center
• Pacific Hand & Orthopedic Surgery Center Inc
• Pacific in Home Care LLC Dba Acti-Kare Responsive in-Home Care
• Pacific Mobile Wound Care
• Pacific Shores Radiology Medical Group Inc.
• Pacific Vein and Wound
• Pacific Wavecrest Medical Corporation
• Pacific Wellness & Family Therapy Corp
• Pacifica SL Anaheim Hills LLC

• Nephrology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.