PACIFIC KIDNEY CARE CORP
NPI 1063014686
Internal Medicine - Nephrology in Freedom, CA

NPI Status: Active since November 09, 2020

Contact Information

243 GREEN VALLEY RD STE A
FREEDOM, CA
ZIP 95019
Phone: (702) 672-1141

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  • Organization
  • Internal Medicine
  • Nephrology

About PACIFIC KIDNEY CARE CORP

This page provides the complete NPI Profile along with additional information for Pacific Kidney Care Corp, an internist established in Freedom, California operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1063014686 assigned on November 2020. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Taurino Nunez Avelar Md (Physician Owner)

NPI
1063014686
Provider Name
PACIFIC KIDNEY CARE CORP
Entity Type
Organization
Location Address
243 GREEN VALLEY RD STE A FREEDOM, CA 95019
Location Phone
(702) 672-1141
Mailing Address
243 GREEN VALLEY RD STE A FREEDOM, CA 95019
Mailing Phone
(702) 672-1141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2020
Last Update Date
11-09-2020
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An internist like Pacific Kidney Care Corp is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TAURINO NUNEZ AVELAR MD

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(702) 672-1141

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A126407OTHER (01)CAMEDICAL BOARD OF CALIFORNIA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063014686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123018616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 0 + 1 + 8 + 6 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1063014686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811282494 TEA TU NGUYEN D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)243 GREEN VALLEY RD STE A
FREEDOM, CA 95019
(831) 728-8844
1679051932PACIFIC POINT PODIATRY INC
Organization
Podiatrist (Primary Podiatric Medicine)243 GREEN VALLEY RD STE A
FREEDOM, CA 95019
(831) 288-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063014686, enumerated in the NPI registry as an "organization" on November 09, 2020

The provider is located at 243 Green Valley Rd Ste A Freedom, Ca 95019 and the phone number is (702) 672-1141

This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 09, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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