South Bay Nephrology Associates, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A43854 Issued in CA

Legal business name

SOUTH BAY NEPHROLOGY ASSOCIATES, PC

Practice address

2360 McKee Rd
Suite 10
San Jose, CA 95116-1618

Phone

(408) 729-7128

Fax

(408) 729-4125

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Wen-Tsang Ku, MD

Title

Ceo

Phone

(408) 729-7128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1649601352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY NEPHROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "WEN-TSANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-729-7128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A43854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Gi Inc
• South Bay Home Health Care, LLC
• South Bay House-Call Doctor
• South Bay Housecall Doctor Inc
• South Bay Medical Clinic of San Jose
• South Bay Ophthalmology Inc
• South Bay Orthopedic and Sports Medicine Clinic, Inc.
• South Bay Paediatrics
• South Bay Pediatrics
• South Bay Respiratory Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.