Organization Active NPI

Coachella Valley Nephrology Inc

  • Nephrology Physician
  • La Quinta, CA
National Provider Identifier
1871832543
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
COACHELLA VALLEY NEPHROLOGY INC
Practice address
43576 Washington St
Suite 100
La Quinta, CA 92253-8565
Phone
(760) 347-0707
Fax
(760) 342-9457
NPI assigned
Jan 31, 2013
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Dr. Narendra Shashibushan Chandrashekar, M.D.NPI 1598715476
Title
Owner
Phone
(760) 347-0707

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
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

43576 Washington St
Suite 100
La Quinta, CA 92253-8565

Mailing address

43576 Washington St
Suite 100
La Quinta, CA 92253-8565
Phone (760) 347-0707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130910000946 CA Part B Supplier - Clinic/Group Practice 9537303714 Receives reassigned benefits from 3 practitioners
Practice locations: Indio, CA; La Quinta, CA

National Provider Directory

National Provider Directory

Locations

43576 Washington St
Ste 100
La Quinta, CA 92253
Phone (760) 347-0707

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1871832543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43576 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538565",
            "telephone_number": "760-347-0707",
            "fax_number": "760-342-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43576 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538565",
            "telephone_number": "760-347-0707",
            "fax_number": "760-342-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY NEPHROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "CHANDRASHEKAR",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "SHASHIBUSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-347-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.