Chabot Nephrology Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHABOT NEPHROLOGY MEDICAL GROUP, INC

Practice address

13851 E 14TH St
206
San Leandro, CA 94578-2631

Phone

(510) 351-9373

Fax

(510) 351-0616

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Julie Armstrong

Title

Billing Administrator

Phone

(510) 351-1669

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 4

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

• Anita M Carstensen, M.D

  • Specialist
  • Oakland, CA
  • NPI 1346296944
  NPD (past)
• Susan T. Nguyen, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1164470696
  NPD (past)
• Joanna Randolph, RN, MS, ANP

  • Adult Health Nurse Practitioner
  • Castro Valley, CA
  • NPI 1750681714
  NPD (past)
• Maria Sparacino Narine, CPNP

  • Pediatric Nurse Practitioner
  • Stony Brook, NY
  • NPI 1992941272
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1912958422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CALLAN AVE",
            "address_2": "SUITE 402",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774584",
            "telephone_number": "510-351-1663",
            "fax_number": "510-351-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "206",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-351-9373",
            "fax_number": "510-351-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHABOT NEPHROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "510-351-1669"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0045151",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRENDA PATRICK, NP",
            "identifier": "271955",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ05207Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0045150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseline Cerpas
• Amanda Cerro
• Diana Aide Cervantes Fabela
• Arlyn Karina Cervantes
• Reina Cervantes
• Quandra Chaffers
• Karen Mishel Chajon Lopez
• Tiffany Cham
• Anthony C Chambliss
• Alissa Chan

• Specialist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.