Whittier Internal Medicine and Nephrology Medical Group Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

WHITTIER INTERNAL MEDICINE AND NEPHROLOGY MEDICAL GROUP INC

Practice address

12462 Putnam St Ste 506
Whittier, CA 90602-1049

Phone

(562) 698-8141

Fax

(562) 698-9885

NPI assigned

Aug 18, 2006

Last updated

Jan 6, 2021By 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

Dr. Kevin Huang, M.D.NPI 1275540114

Title

Treasurer

Phone

(562) 698-8141

Specialties & licenses 2

Addresses

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 13

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.

• Kevin T. Huang, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1275540114
  Medicare reassignment Care Compare group Authorized official
• Hassan Boroujerdi-Rad, MD

  • Nephrology Physician
  • Whittier, CA
  • NPI 1205814837
  Medicare reassignment Care Compare group NPD
• Laleh Boroujerdi-Rad, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1245474378
  Medicare reassignment Care Compare group NPD
• Grace Y Lin, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1114167178

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jayakumar Ravichandran Vidhun, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1275685638

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jennifer Maria Imparato, DO

  • Nephrology Physician
  • Whittier, CA
  • NPI 1770786469
  Medicare reassignment Care Compare group
• Shahriare Nasser-Moaddeli, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1902811391
  Medicare reassignment Care Compare group
• Min-O Chuang, N.P.

  • Acute Care Nurse Practitioner
  • Alhambra, CA
  • NPI 1902183809
  Medicare reassignment NPD
• Riad Y. Darwish, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1366459208

  Internal Medicine

  Medicare reassignment NPD
• Priyanka Vishwanath Gogte, MD

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1518453422
  Medicare reassignment NPD
• Balbir Natt, M.D.

  • General Practice Physician
  • San Bernardino, CA
  • NPI 1386606465
  NPD (past)
• Ushir V Patel, M.D.

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1285936757

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1659485589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 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 STE 506",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021049",
            "telephone_number": "562-698-8141",
            "fax_number": "562-698-9885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14350 Whittier Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906052164",
            "country_code": "US",
            "telephone_number": "562-907-7616",
            "fax_number": "562-907-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITTIER INTERNAL MEDICINE AND NEPHROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "562-698-8141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.