Southland Renal Medical Group, Inc.
NPI 1205969748 · Nephrology Physician · Los Alamitos, CA
Southland Renal Medical Group, Inc. is a Nephrology Physician organization in Los Alamitos, CA (NPI 1205969748).
Provider details
- NPI number
- 1205969748
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southland Renal Medical Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Avedik Semerjian, Secretary(562) 630-3111
- License
- A46344 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Frequently asked questions
- What is Southland Renal Medical Group, Inc.'s NPI number?
- Southland Renal Medical Group, Inc.'s National Provider Identifier (NPI) is 1205969748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southland Renal Medical Group, Inc.?
- Southland Renal Medical Group, Inc. is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Southland Renal Medical Group, Inc. located?
- Southland Renal Medical Group, Inc.'s practice location on file with NPPES is 4152 Katella Ave Ste 201, Los Alamitos, CA 90720-6608.
- What is Southland Renal Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southland Renal Medical Group, Inc. is (562) 630-3111.
- Who is the authorized official for Southland Renal Medical Group, Inc.?
- The authorized official listed on Southland Renal Medical Group, Inc.'s NPPES record is Avedik Semerjian, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southland Renal Medical Group, Inc.'s NPI active?
- Yes — Southland Renal Medical Group, Inc.'s NPI (1205969748) is active in the NPPES registry as of the last update on 2024-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.