Kidney Care Institute Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A96566 Issued in CA

Legal business name

KIDNEY CARE INSTITUTE INC

Practice address

1711 W Temple St
Ste 7200
Los Angeles, CA 90026-5421

Phone

(888) 522-7311

Fax

(213) 484-1948

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Vincent L Anthony, MDNPI 1396851903

Title

Owner

Phone

(888) 522-7311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Luvern Anthony, M.D., M.P.H.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1396851903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1902032659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 7200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "888-522-7311",
            "fax_number": "213-484-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "STE 7200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "888-522-7311",
            "fax_number": "213-484-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-522-7311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A96566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikia Kidd
• Shirley Kidd, R.N.
• Elizabeth Kidde, CPNP
• Nadia Lorraine Kidiwa
• Kidney Care a Medical Corp
• Kidney Center of Los Angeles, LLC
• Kidney Dialysis Center of Baldwin Hills LLC
• Kidney Dialysis Center of West Los Angeles
• Kidney Transplant Associates
• Kids Dental Kare

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.