NPIMap

Organization Active NPI

Pediatric Kidney Center Inc

  • Pediatric Nephrology Physician
  • Bakersfield, CA
National Provider Identifier
1821304403
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
A93348 Issued in CA
Legal business name
PEDIATRIC KIDNEY CENTER INC
Practice address
5309 Aurora Way
Bakersfield, CA 93306-7808
Phone
(310) 309-0403
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. Nimisha Amin, M.D.
Title
President
Phone
(310) 309-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0210X A93348 CA Primary

Addresses

Primary practice location

5309 Aurora Way
Bakersfield, CA 93306-7808

Mailing address

PO Box 60238
Bakersfield, CA 93386-0238

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1821304403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60238",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933860238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 AURORA WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067808",
            "telephone_number": "310-309-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC KIDNEY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-309-0403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CA",
            "license": "A93348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.