Healthcare Provider Details

I. General information

NPI: 1972440972
Provider Name (Legal Business Name): NORCAL NEPHROLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 COMMODORE DR APT 550
SAN BRUNO CA
94066-2441
US

IV. Provider business mailing address

853 COMMODORE DR APT 550
SAN BRUNO CA
94066-2441
US

V. Phone/Fax

Practice location:
  • Phone: 925-471-1908
  • Fax: 925-204-2149
Mailing address:
  • Phone: 925-471-1908
  • Fax: 925-204-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANIRUDH CHANDRA
Title or Position: PHYSICIAN
Credential: DO
Phone: 925-471-1908