Organization Active NPI

The Nephrology Group, Inc. Clinical Lab

  • Clinical Medical Laboratory
  • Fresno, CA
National Provider Identifier
1831621788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE NEPHROLOGY GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Steve W Su, MDNPI 1033187133
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0062730MedicaidCA

Other names 1

  • FRESNO NEPHROLOGY MEDICAL GROUP INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0589926Nephrology Group Inc568 E Herndon Ave Ste 104, Fresno, CA 93720AccreditationNov 2, 2027
05D0919966Medical Partners Group Inc568 E Herndon Ave, Ste 101, Fresno, CA 93720Certificate of waiverJun 7, 2028
05D1079668Nephrology Group Inc, the568 E Herndon Ave, Suite 301, Fresno, CA 93720Provider-performed microscopyFeb 4, 2028
05D2117785The Nephrology Group Inc568 E Herndon Ave Ste 201, Fresno, CA 93720Provider-performed microscopyAug 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.

View all 60

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

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.

Verify at the official NPI Registry.