Kidney Solutions Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY SOLUTIONS INC

Practice address

1005 Northgate Dr # 121
San Rafael, CA 94903-2500

Phone

(858) 863-4776

NPI assigned

Dec 28, 2020

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean-Claude Bassila, MDNPI 1487817854

Title

Owner

Phone

(858) 863-4776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23281/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Claude Bassila, M.D.

  • Nephrology Physician
  • Santa Rosa, CA
  • NPI 1487817854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1528655362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NORTHGATE DR # 121",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032500",
            "telephone_number": "858-863-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NORTHGATE DR # 121",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032500",
            "telephone_number": "858-863-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "BASSILA",
        "authorized_official_first_name": "JEAN-CLAUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-863-4776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asfand Khan
• Shaima Khandaker, MD
• Alpana Kharkar, MD
• Tara Ann Khawaja, SUDRC
• Mahsa Khorramdin
• Katharina Kienboeck, M.A.
• Maria Kieu
• Bradley Reed Kilgore, AU.D.
• Michael Kilivris
• Kevin M. Killelea

• Nephrology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.