Southern California Kidney Care, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHERN CALIFORNIA KIDNEY CARE, PC

Practice address

1125 17TH St Ste 1000
Denver, CO 80202-2043

Phone

(855) 962-4638

NPI assigned

May 5, 2022

Last updated

Jun 16, 2026By 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

Laura Chandhok

Title

Director, Support Operations

Phone

(855) 962-4638

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

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.

• Siglinda R Marlin, APN

  • Nurse Practitioner
  • Arvada, CO
  • NPI 1952301186

  TX

  Medicare reassignment NPD
• Osarugue Cassandra Aigbogun, FNP-BC

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1578114617

  TX

  Medicare reassignment NPD
• Christine A Gallup, MS RD LDN

  • Registered Dietitian
  • Chicago, IL
  • NPI 1083981831

  TX

  Medicare reassignment NPD
• Vibhuti Patel, RD

  • Registered Dietitian
  • Bingham Farms, MI
  • NPI 1629723481

  TX

  Medicare reassignment NPD
• Samantha Walton, FNP-BC, NP-C,

  • Nurse Practitioner
  • Homewood, IL
  • NPI 1568013928

  TX

  Medicare reassignment NPD
• Johanna Camille De Jesus, FNP-C

  • Nurse Practitioner
  • Tustin, CA
  • NPI 1821711169

  TX

  Medicare reassignment
• Tobias D Barker, MD

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1225087257
  NPD (past)
• Lamioko S Pappoe, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1356312953
  NPD (past)

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1801532528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA KIDNEY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CHANDHOK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR, SUPPORT OPERATIONS",
        "authorized_official_telephone_number": "855-962-4638"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brenda Marie Southerly, COTA
• Southmoor Pediatric Dentistry
• Southport Healthcare Inc. (Amada Senior Care Denver West)
• Charles Southwell, D.C.
• Danielle Marie Southwell, RN
• Southwest Adams County Fire Protection District

• Nephrology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Nephrology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.