Active NPI
The Nephrology Group, Inc. Clinical Lab
- Clinical Medical Laboratory
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- THE NEPHROLOGY GROUP, INC. CLINICAL LAB
- Practice address
- 568 E Herndon Ave Ste 104
Fresno, CA 93720-2989 - Phone
- (559) 228-6600
- Fax
- (559) 226-3709
- NPI assigned
- Mar 30, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- THE NEPHROLOGY GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve W Su, MD
- Title
- MD
- Phone
- (559) 228-6600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
568 E Herndon Ave Ste 104
Fresno, CA 93720-2989
Mailing address
568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone (559) 228-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0062730 | Medicaid | CA |
Other names 1
- FRESNO NEPHROLOGY MEDICAL GROUP INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070912000803 | CA | Part B Supplier - Clinic/Group Practice | 4688767262 |
Receives reassigned benefits from 58 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Madera, CA; Merced, CA; Sanger, CA; Selma, CA; Tehachapi, CA; Visalia, CA; Bakersfield, CA; Delano, CA… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0589926 | Nephrology Group Inc | Accreditation | Nov 2, 2027 |
| 05D0919966 | Medical Partners Group Inc | Certificate of waiver | Jun 7, 2028 |
| 05D1079668 | Nephrology Group Inc, the | Provider-performed microscopy | Feb 4, 2028 |
| 05D2117785 | The Nephrology Group Inc | Provider-performed microscopy | Aug 22, 2026 |
National Provider Directory
National Provider Directory- Part of
- The Nephrology Group Inc
Locations
432 Lexington St
#A
Delano, CA 93215
Phone (661) 375-5871
1313 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 320-0701
568 E Herndon Ave
Ste 104
Fresno, CA 93720
568 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 592-1025
1451 W Pacheco Blvd
Ste E
Los Banos, CA 93635
Phone (209) 725-2121
1122 Rose Ave
Ste 2
Selma, CA 93662
1205 Evergreen St
Selma, CA 93662
Phone (559) 896-2342
1239 Rose Ave
Selma, CA 93662
Phone (559) 891-7200
515 W Acequia Ave
Ste A
Visalia, CA 93291
Phone (559) 733-9707
Practitioners & affiliated clinicians
Practitioners 60
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.
-
- Nephrology Physician
- Fresno, CA
- NPI 1033187133
-
- Nephrology Physician
- Visalia, CA
- NPI 1881997872
-
- Nephrology Physician
- Bakersfield, CA
- NPI 1851546121
-
- Family Nurse Practitioner
- Tulare, CA
- NPI 1417205683
-
- Nephrology Physician
- Fresno, CA
- NPI 1669685251
-
- Nurse Practitioner
- Bakersfield, CA
- NPI 1144928524
-
- Nephrology Physician
- Fresno, CA
- NPI 1558339630
-
- Nephrology Physician
- Fresno, CA
- NPI 1811319197
-
- Internal Medicine Physician
- Visalia, CA
- NPI 1184732398
-
- Nephrology Physician
- Fresno, CA
- NPI 1093361479
-
- Registered Dietitian
- Fresno, CA
- NPI 1740951839
-
- Physician Assistant
- Shafter, CA
- NPI 1114150703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1831621788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE STE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-228-6600",
"fax_number": "559-226-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-228-6600",
"fax_number": "559-226-3709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEPHROLOGY GROUP, INC. CLINICAL LAB",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE NEPHROLOGY GROUP, INC.",
"enumeration_date": "2017-03-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SU",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "559-228-6600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0062730",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FRESNO NEPHROLOGY MEDICAL GROUP INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fresno, CA
- The Lead Institute, Inc. (Lead Behavorial Health)
- The Living Centers of Fresno, Inc.
- The Medical Partners Group, Inc.
- The Medical Partners Group, LLC
- The Nephrology Group, Inc.
- The Oncology Institute Ca, a Professional Corporation (The Oncology Institute of Hope and Innovation)
- The Reclaim Family Therapy Corporation (The Reclaim: A Therapy Collective)
- The Regents of the University of California
- The Sisters of Nazareth of Fresno (Nazareth House)
- The Struggle Huddle, a Licensed Clinical Social Worker Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.