Provider Demographics
NPI:1275060303
Name:CAPITAL NEPHROLOGY ACCESS CENTER, LLC
Entity Type:Organization
Organization Name:CAPITAL NEPHROLOGY ACCESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHYAP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-564-6232
Mailing Address - Street 1:1111 EXPOSITION BLVD, STE 300
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815
Mailing Address - Country:US
Mailing Address - Phone:916-426-1949
Mailing Address - Fax:916-921-2586
Practice Address - Street 1:1111 EXPOSITION BLVD, STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815
Practice Address - Country:US
Practice Address - Phone:916-564-6232
Practice Address - Fax:916-921-2586
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL NEPHROLOGY MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-19
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty