Woodland Nephrology Med GRP

Primary specialty

SpecialistTaxonomy code 174400000X

License

G433540 Issued in CA

Legal business name

WOODLAND NEPHROLOGY MED GRP

Practice address

520 Cottonwood St
Suite 2
Woodland, CA 95695-3603

Phone

(530) 668-3600

Fax

(530) 668-3601

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Cindie Anderson

Title

Office Manager

Phone

(530) 668-3600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1366654238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST",
            "address_2": "SUITE 2",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-668-3600",
            "fax_number": "530-668-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST",
            "address_2": "SUITE 2",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-668-3600",
            "fax_number": "530-668-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND NEPHROLOGY MED GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CINDIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-668-3600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G433540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodland Dialysis Service LLC (Woodland Dialysis Services)
• Woodland Emergency Physicians Medical Group Inc
• Woodland Gardens Senior Living LLC (Woodland Gardens Senior Living)
• Woodland Hearing Aid Services Inc
• Woodland Joint Unified School District
• Woodland Puzzle Place LLC
• Woodland Residential Services
• Woodland Residential Services, Inc.
• Woodland Residential Services, Inc.
• Woodland Residential Services, Inc.

• Specialist in Woodland, CA
• Providers in Woodland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.