Organization Active NPI

The Nephrology Group, Inc.

  • Nephrology Physician
  • Merced, CA
National Provider Identifier
1700827516
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
THE NEPHROLOGY GROUP, INC.
Practice address
1140 Olivewood Dr
Merced, CA 95348-1210
Phone
(209) 725-2121
Fax
(209) 725-2123
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Atulkumar T. Roy, MD
Title
Nephrologist
Phone
(209) 725-2121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X CA

Addresses

Primary practice location

1140 Olivewood Dr
Merced, CA 95348-1210

Mailing address

1140 Olivewood Dr
Merced, CA 95348-1210
Phone (209) 725-2121

Other identifiers 1

IdentifierTypeStateIssuer
GR0082110MedicaidCA

Other names 1

  • Central Valley Nephrology Medical Associates Incorporated Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1700827516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "209-725-2121",
            "fax_number": "209-725-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "209-725-2121",
            "fax_number": "209-725-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEPHROLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "ATULKUMAR",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "209-725-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Nephrology Medical Associates Incorporated",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.