Organization Active NPI

Nvin PLLC

  • Nephrology Physician
  • Garden Grove, CA
National Provider Identifier
1881560530
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NVIN PLLC
Practice address
12827 Harbor Blvd Ste G1
Garden Grove, CA 92840-5839
Phone
(714) 534-1680
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Basker Periyasamy, MD
Title
President
Phone
(702) 460-8119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

12827 Harbor Blvd Ste G1
Garden Grove, CA 92840-5839

Mailing address

2868 Saint Dizier Dr
Henderson, NV 89044-0376
Phone (702) 460-8119

Other practice location 1

6076 Bristol Pkwy Ste 108
Culver City, CA 90230-6600
Phone (310) 348-9604

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1881560530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 SAINT DIZIER DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440376",
            "telephone_number": "702-460-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12827 HARBOR BLVD STE G1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405839",
            "telephone_number": "714-534-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6076 Bristol Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306600",
            "country_code": "US",
            "telephone_number": "310-348-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NVIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "PERIYASAMY",
        "authorized_official_first_name": "BASKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-460-8119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.