Organization Active NPI

Kidney Care of Acadiana

  • Clinic/Center
  • Lafayette, LA
National Provider Identifier
1821163304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
261Q00000X Issued in LA
Legal business name
KIDNEY CARE OF ACADIANA
Practice address
224 Saint Landry St
Suite 1-C
Lafayette, LA 70506-3549
Phone
(337) 233-3538
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Masoud Yazdi, MDNPI 1477543239
Title
Owner Medical Director
Phone
(337) 233-3538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 261Q00000X LA Primary

Addresses

Primary practice location

224 Saint Landry St
Suite 1-C
Lafayette, LA 70506-3549

Mailing address

224 Saint Landry St
Suite 1-C
Lafayette, LA 70506-3549
Phone (337) 233-3538

Other identifiers 1

IdentifierTypeStateIssuer
1432440MedicaidLA

National Provider Directory

National Provider Directory

Locations

224 Saint Landry St
Ste 1C
Lafayette, LA 70506
Phone (337) 233-3538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821163304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST",
            "address_2": "SUITE 1-C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063549",
            "telephone_number": "337-233-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAINT LANDRY ST",
            "address_2": "SUITE 1-C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063549",
            "telephone_number": "337-233-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE OF ACADIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER   MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "337-233-3538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432440",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.