Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

California Kidney Medical Group Inc

Organization Vascular Surgery Physician · NPI 1659537835

California Kidney Medical Group Inc provides Vascular Surgery Physician services in Northridge, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18546 Roscoe Blvd Ste 120
Northridge, CA 91324-4663 Not confirmed with CMS for 18 years — call before visiting
Phone: (818) 886-3773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G83840 (CA)

Record details

NPI number1659537835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lily Krastein — Administrator · (805) 433-7507
NPI enumeratedAugust 6, 2008
Last updated in NPPESAugust 6, 2008
Mailing addressPo Box 940838, Simi Valley, CA 93094-0838

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