NPIMap

Individual provider Active NPI

Nima Naimi, D.O.

  • Nephrology Physician
  • Upland, CA
National Provider Identifier
1740424712
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20A11485 Issued in CA
Practice address
1317 W Foothill Blvd
Ste 148
Upland, CA 91786-3676
Phone
(909) 981-5882
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20A11485 CA Primary

Addresses

Primary practice location

1317 W Foothill Blvd
Ste 148
Upland, CA 91786-3676

Mailing address

PO Box 1869
Upland, CA 91785-1869
Phone (909) 981-5882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001834 CA Practitioner - NephrologyPractitioner - Internal Medicine 8729216775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Upland and PomonaGroup PAC ID 2264482744, 6 clinicians

Practice addresses (Care Compare)

1317 W Foothill Blvd
Suite 148
Upland, CA 91786-3675
Phone (909) 981-5882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11485CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Nephrology Associates of Upland and Pomona Nephrology CurrentSince Jun 1, 2014 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

16465 Sierra Lakes Pkwy
Ste 220
Fontana, CA 92336
Phone (909) 261-8082

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1902 Royalty Dr
Ste 130
Pomona, CA 91767
Phone (909) 865-5777

1902 Royalty Dr
Ste 230
Pomona, CA 91767
Phone (909) 984-5882

536 E Foothill Blvd
#B
Upland, CA 91786

1317 W Foothill Blvd
Ste 148
Upland, CA 91786

1317 W Foothill Blvd
Upland, CA 91786
Phone (909) 396-0250

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nima.naimi@direct.davitaphysiciansolutions.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Antonio Regional HospitalUpland, CA, CCN 050099 Hospital Corporate Director (8.33%) Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1740424712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851869",
            "telephone_number": "909-981-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD",
            "address_2": "STE 148",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863676",
            "telephone_number": "909-981-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIMI",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A11485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.