Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
NEPHROLOGY ASSOCIATES MEDICAL GROUP
Active
Organization
NEPHROLOGY ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FENECK (CEO)
(951) 680-9717
Entity
Organization
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE, SUITE 2D, BANNING, CA 92220-3082
(951) 769-9776
(951) 769-9026
Mailing address
4361 LATHAM ST, SUITE 150, RIVERSIDE, CA 92501-1730
(951) 680-9717
(951) 680-9327
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up