Kidney Care Services of Humboldt
NPI 1457734741ActiveOrganization· Internal Medicine, Nephrology· Eureka, CA
Internal Medicine, Nephrology in Eureka, California, registered in NPPES in July 2015. The authorized official on file is James Lee Wynn, Admin Aide. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457734741 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 4, 2015 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 23313 | CA |
| Clinic/Center, Health Services | 261QH0100X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Internal Medicine, Nephrology providers in Eureka
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