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
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA INC
Active
Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA INC
Active
Other names
South Bay Kidney and Hypertension Consultants Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY E GABRIEL MD (OWNER PRESIDENT)
(408) 885-0690
Entity
Organization
Contact information
Practice address
125 CIRO AVE, STE 110, SAN JOSE, CA 95128-1671
(408) 885-0690
(408) 885-1503
Mailing address
125 CIRO AVE, STE 110, SAN JOSE, CA 95128-1671
(408) 885-0690
(408) 885-1503
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275719932
—
CA
01
—
ZZZ04539Z
MEDICARE - GROUP
CA
Enumeration date
01/12/2008
Last updated
07/21/2022
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