Individual provider Active NPI

Riad Y. Darwish, M.D.

  • Nephrology Physician
  • Whittier, CA
National Provider Identifier
1366459208
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A36607 Issued in CA
Practice address
12462 Putnam St.
Suite 506
Whittier, CA 90602-1002
Phone
(562) 698-8141
Fax
(562) 698-9885
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A36607 CA
Nephrology Physician 207RN0300X A36607 CA Primary

Addresses

Primary practice location

12462 Putnam St.
Suite 506
Whittier, CA 90602-1002

Mailing address

PO Box 4249
Whittier, CA 90607-4249
Phone (562) 698-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000363 CA Practitioner - NephrologyPractitioner - Internal Medicine 2365505864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A36607CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whittier Kidney Dialysis Center Current Accepting new patients
Whittier Internal Medicine and Nephrology Medical Group Inc Internal Medicine CurrentSince Jan 1, 1973 Accepting new patients
Intercommunity Dialysis Services Current Accepting new patients

Locations

1770 W La Habra Blvd
La Habra, CA 90631
Phone (562) 691-8810

12462 Putnam St
Ste 506
Whittier, CA 90602
Phone (562) 698-8141

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1366459208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4249",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906074249",
            "telephone_number": "562-698-8141",
            "fax_number": "562-698-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST.",
            "address_2": "SUITE 506",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021002",
            "telephone_number": "562-698-8141",
            "fax_number": "562-698-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWISH",
        "first_name": "RIAD",
        "middle_name": "Y.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36607",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A36607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.