Internal Medicine and Nephrology Med. Group Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

BUS-0041314 Issued in CA

Legal business name

INTERNAL MEDICINE AND NEPHROLOGY MED. GROUP INC.

Practice address

3291 Skypark Dr
Torrance, CA 90505-5004

Phone

(310) 325-4517

Fax

(310) 325-1144

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Vinh T Cam, MDNPI 1144243908

Title

M.D.

Phone

(310) 325-4517

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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 10

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

• Vinh Cam, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1144243908
  Medicare reassignment Care Compare group NPD Authorized official
• Omer Khan, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1396036646
  Medicare reassignment Care Compare group NPD
• Edgar Allan Musngi, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1871523563
  Medicare reassignment Care Compare group NPD
• Ana Cecilia Ortiz-Guerrero, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1275776536
  Medicare reassignment Care Compare group NPD
• Jonathan Sung

  • Nephrology Physician
  • Torrance, CA
  • NPI 1477057859
  Medicare reassignment Care Compare group NPD
• Mahdi Yazdany, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1316109911
  Medicare reassignment Care Compare group NPD
• Philip W Chung, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1003881889
  Medicare reassignment Care Compare group
• Sasha Mejia

  • Nurse Practitioner
  • Torrance, CA
  • NPI 1457742330
  Medicare reassignment NPD
• Kimberly Reiko Miyamoto, RD

  • Renal Nutrition Registered Dietitian
  • Lomita, CA
  • NPI 1861048456

  Nutrition, Renal

  Medicare reassignment NPD
• Juan S Corredor, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1962405738
  NPD

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1497759104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND NEPHROLOGY MED. GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "CAM",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-325-4517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "BUS-0041314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72355Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.