NPIMap

Organization Active NPI

Davita Nephrology Medical Associates of California Inc

  • Nephrology Physician
  • Hillsboro, TX
National Provider Identifier
1902846231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC
Practice address
1323 East Franklin Street
Hill Regional Medical Office Building
Hillsboro, TX 76648
Phone
(866) 419-6852
Fax
(866) 399-5590
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Efthim Gabriel, MD
Title
Owner President Secretary & Treasur
Phone
(800) 310-4872

Specialties & licenses 1

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

Addresses

Primary practice location

1323 East Franklin Street
Hill Regional Medical Office Building
Hillsboro, TX 76648

Mailing address

PO Box 2355
Tacoma, WA 98401
Phone (800) 310-4872

Other names 1

  • North Texas Kidney Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davita Nephrology Medical Associates of California Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1323 E Franklin St
Ofc
Hillsboro, TX 76645
Phone (866) 419-6852

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902846231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2355",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98401",
            "telephone_number": "800-310-4872",
            "fax_number": "877-328-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 EAST FRANKLIN STREET",
            "address_2": "HILL REGIONAL MEDICAL OFFICE BUILDING",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "76648",
            "telephone_number": "866-419-6852",
            "fax_number": "866-399-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "EFTHIM",
        "authorized_official_title_or_position": "OWNER PRESIDENT SECRETARY & TREASUR",
        "authorized_official_telephone_number": "800-310-4872",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "North Texas Kidney Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.