Name: Dr. Margarita Symonian Silver,

Specialty: Nephrology (Kidney Medicine)

Qualification / Board Certification: MD — Graduated from Yerevan State Medical University; specific board certification details not publicly listed; contact office to confirm

Affiliation(s): Affiliated with multiple Castle Connolly Top Hospitals in the Los Angeles area

Locations (City/State): Los Angeles, CA

Languages Spoken: English, Armenian, Russian

Accepting New Patients: Yes

NPI Number: 1528140696

About the Doctor

Dr. Margarita Symonian Silver, MD is a distinguished and highly experienced Nephrologist with over three decades of dedicated service to patients in the Los Angeles metropolitan area. She completed her medical training at Yerevan State Medical University in Armenia — a prestigious institution founded in 1920 and recognized as one of the premier medical universities in the former Soviet Union and South Caucasus region. Her international medical education, combined with more than 32 years of American nephrology practice, gives her a uniquely broad clinical perspective that has served the diverse patient population of Los Angeles exceptionally well.

As a Nephrologist, Dr. Symonian Silver is an internist subspecialist focused on the diagnosis and management of all conditions related to the kidneys — including chronic kidney disease, kidney failure, hypertension, fluid and electrolyte imbalances, and the complex medical needs of organ transplant patients. Her expertise extends to performing and managing dialysis and peritoneal dialysis, conducting kidney biopsies, interpreting kidney imaging studies, and collaborating with transplant surgeons on kidney transplantation cases. This full-spectrum procedural capability makes her one of the most comprehensively skilled nephrologists serving the Los Angeles community.

A particularly distinguishing feature of Dr. Symonian Silver’s practice is her multilingual fluency in English, Armenian, and Russian. Los Angeles is home to one of the largest Armenian diaspora communities in the world, as well as a substantial Russian-speaking population, and Dr. Symonian Silver’s ability to communicate in these languages provides an immeasurable advantage for patients who prefer to discuss complex medical conditions in their native tongue. Her hospital affiliations are equally impressive — she holds admitting privileges at six Los Angeles-area hospitals, five of which carry Castle Connolly Top Hospital designations, including the world-renowned Cedars-Sinai Medical Center. Dr. Symonian Silver is currently accepting new patients at her Los Angeles practice.

Highlights at a glance:

• Over 32 years of nephrology experience
• Medical degree from Yerevan State Medical University, Armenia
• Trilingual — fluent in English, Armenian, and Russian
• Affiliated with five Castle Connolly Top Hospitals including Cedars-Sinai Medical Center
• Admitting privileges at six Los Angeles-area hospitals
• Full-spectrum nephrology procedures — dialysis, kidney biopsy, transplant collaboration
• Specializes in chronic kidney disease, kidney failure, and diabetic nephropathy
• Accepts Medicaid, Medicare, UnitedHealthcare, and other major plans
• Currently accepting new patients

Education & Training

Dr. Symonian Silver’s medical education reflects a strong international foundation at one of the oldest and most respected medical schools in the Armenian and former Soviet medical tradition:

• Medical School: Yerevan State Medical University — Yerevan, Armenia (Doctor of Medicine — MD)
• Residency: Internal Medicine / Nephrology Residency — Specific program details not publicly listed; contact office for further information
• Fellowship / Additional Training: Nephrology Fellowship — Advanced training in kidney disease management, dialysis, transplant nephrology, and renal pathology (based on clinical and procedural scope over 32+ years of practice)
• Board Certification: Specific certification details not publicly confirmed — contact office at (213) 413-2929 to verify current board status
• NPI Registration: Active — NPI Number 1528140696

Medical Conditions Treated

As a Nephrologist with over three decades of experience, Dr. Symonian Silver diagnoses, treats, and manages a comprehensive range of kidney-related and associated systemic conditions, including:

• Chronic Kidney Disease (CKD) — Stages 1 through 5
• Kidney Failure — Acute Kidney Injury (AKI) & End-Stage Renal Disease (ESRD)
• Type 2 Diabetes & Diabetic Nephropathy (Kidney Damage from Diabetes)
• High Blood Pressure (Hypertension) — Primary & Secondary
• High Blood Pressure with Heart Disease (Hypertensive Heart Disease)
• Organ Transplant Management — Pre- and Post-Kidney Transplant Care
• Organ Transplant Aftercare & Immunosuppression Management
• Osteoarthritis & Musculoskeletal Conditions Associated with Kidney Disease
• Electrolyte Imbalances — Sodium, Potassium, Calcium & Phosphorus Disorders
• Fluid Retention & Edema Management
• Proteinuria & Hematuria (Protein & Blood in Urine)
• Glomerulonephritis & Autoimmune Kidney Disorders
• Polycystic Kidney Disease (PKD)
• Renal Artery Stenosis & Renovascular Hypertension
• Kidney Stones (Nephrolithiasis) — Evaluation & Prevention
• Anemia of Chronic Kidney Disease
• Metabolic Acidosis & Acid-Base Disorders
• Urinary Tract Complications Affecting Kidney Function

Medical Procedures Performed

Dr. Symonian Silver performs a comprehensive range of nephrology-specific diagnostic, therapeutic, and interventional procedures, including:

• Dialysis — Hemodialysis Management & Monitoring
• Peritoneal Dialysis — Catheter Management & Treatment Planning
• Kidney Biopsy — Percutaneous Renal Tissue Sampling for Diagnosis
• Kidney Transplant — Pre-Transplant Evaluation & Post-Transplant Nephrology Care
• Kidney and Urinary Perfusion Scan — Nuclear Imaging for Renal Function
• Kidney Ultrasound — Diagnostic Imaging for Structural Kidney Assessment
• Nephrology Consultations — Comprehensive Kidney Disease Evaluations
• Nephrology Follow-Up Visits — Ongoing Chronic Kidney Disease Monitoring
• Electrolyte & Fluid Management
• Hypertension Management & Medication Optimization
• Anemia Management in CKD (EPO Therapy & Iron Supplementation)
• Vascular Access Assessment for Dialysis (AV Fistula / Graft Evaluation)
• Urinalysis & Renal Function Laboratory Interpretation
• Immunosuppression Management for Transplant Patients

Services Offered

Dr. Symonian Silver’s nephrology practice provides a complete spectrum of kidney care services — from early-stage chronic kidney disease management and hypertension control through advanced dialysis therapies and kidney transplant aftercare. With over 32 years of experience, she combines deep clinical expertise with a compassionate, patient-centered approach to help patients at every stage of kidney disease preserve function, slow progression, and maintain the highest possible quality of life. Her trilingual practice in English, Armenian, and Russian ensures that Los Angeles’s diverse communities receive kidney care that is both medically excellent and personally accessible.

Chronic Kidney Disease (CKD) Management Early identification and careful long-term management of chronic kidney disease is the cornerstone of Dr. Symonian Silver’s practice. She monitors patients across all five stages of CKD, implementing individualized treatment strategies aimed at slowing disease progression, managing complications, and delaying or preventing the need for dialysis. Her approach combines medication management, dietary counseling, blood pressure control, and comorbidity treatment into a cohesive long-term care plan.

• Comprehensive CKD staging, monitoring, and individualized treatment planning
• Medication management — ACE inhibitors, ARBs, and kidney-protective therapies
• Dietary and fluid restriction counseling for CKD patients
• Blood pressure optimization and cardiovascular risk reduction
• Comorbidity management — diabetes, hypertension, and bone mineral disease in CKD

Dialysis Services — Hemodialysis & Peritoneal Dialysis For patients who have progressed to end-stage renal disease (ESRD), Dr. Symonian Silver provides expert management of both hemodialysis and peritoneal dialysis — the two primary modalities for renal replacement therapy. She assists patients in selecting the dialysis modality best suited to their lifestyle and medical needs, and manages all aspects of ongoing dialysis care including vascular access, adequacy monitoring, and complication management.

• Hemodialysis initiation, prescription, and ongoing management
• Peritoneal dialysis catheter care and treatment planning
• Dialysis adequacy monitoring and optimization
• Vascular access evaluation — AV fistula and graft assessment
• Complications management — infection, clotting, and access dysfunction

Kidney Transplant Care Dr. Symonian Silver collaborates with transplant surgeons to provide pre- and post-transplant nephrology care for kidney transplant patients. She performs pre-transplant evaluations, manages immunosuppressive medications post-transplant, monitors for rejection, and provides ongoing aftercare to optimize long-term transplant function.

• Pre-kidney transplant evaluation and candidacy assessment
• Post-transplant nephrology follow-up and monitoring
• Immunosuppression management and medication adjustment
• Transplant rejection detection and management
• Long-term organ transplant aftercare and renal function preservation

Diagnostic Kidney Procedures Dr. Symonian Silver performs a range of diagnostic procedures to accurately assess kidney structure and function, enabling precise diagnosis and tailored treatment planning for her patients.

• Kidney ultrasound for structural assessment and abnormality detection
• Kidney and urinary perfusion scans (nuclear medicine imaging)
• Kidney biopsy for histological diagnosis of kidney disease
• Comprehensive urinalysis and renal function laboratory panel interpretation
• Nephrology consultations for complex kidney disease evaluation

Hypertension & Cardiovascular Risk Management Hypertension is both a cause and a consequence of kidney disease, and its management is central to Dr. Symonian Silver’s nephrology practice. She provides expert blood pressure management, identifies secondary causes of hypertension related to kidney dysfunction, and works to reduce cardiovascular complications associated with chronic kidney and vascular disease.

• Hypertension evaluation and treatment — primary and secondary
• Renovascular hypertension assessment and management
• Cardiovascular risk reduction in CKD patients
• Electrolyte management for blood pressure stability

Trilingual Care — English, Armenian & Russian Dr. Symonian Silver provides full nephrology consultations, patient education, and follow-up care in English, Armenian, and Russian. For Los Angeles’s Armenian and Russian-speaking communities, this multilingual capability is an invaluable asset — ensuring that patients dealing with complex, life-altering kidney conditions can fully understand their diagnoses, treatment options, and care plans in the language they are most comfortable with.

• Full consultations in English, Armenian, and Russian
• Culturally sensitive care for Armenian and Russian-speaking patients
• Patient education materials and treatment explanations in preferred language

Telehealth & Online Consultations Patients interested in virtual nephrology consultations are encouraged to contact Dr. Symonian Silver’s office directly at (213) 413-2929 to confirm telehealth availability and appropriate scheduling for virtual care visits.

Accepted Insurances

Dr. Symonian Silver accepts most major insurance plans. Patients are strongly advised to call (213) 413-2929 before scheduling to verify their specific plan and network coverage. Accepted carriers include:

• Medicaid (Medi-Cal — California Medicaid)
• Medicare
• UnitedHealthcare
• Blue Shield of California
• Centene
• Heritage Health
• City of Los Angeles Health Plan
• Crown Cork and Seal Company
• State of Tennessee
• All Other Third Party Insurance Plans
• Other Health Care Provider Plans

Practice Locations

Location 1 — Primary Office Address: 201 S Alvarado St, Suite 808, Los Angeles, CA 90057

Phone: (213) 413-2929

Hospital Affiliations

Dr. Symonian Silver holds admitting privileges at six hospitals across the greater Los Angeles area, five of which carry prestigious Castle Connolly Top Hospital designations — placing them among the top 25% of hospitals nationwide for patient outcomes and quality of care:

• PIH Health Good Samaritan Hospital — Los Angeles, CA (Castle Connolly Top Hospital — Ranked for OB/GYN Surgery & 2 Procedures)
• Adventist Health Glendale — Glendale, CA (Castle Connolly Top Hospital — Ranked for C-Section Surgery)
• Cedars-Sinai Medical Center — Los Angeles, CA (Castle Connolly Top Hospital — Ranked for Liver Cancer Surgery; one of the most prestigious medical centers in the United States)
• Community Hospital of Huntington Park — Huntington Park, CA (Castle Connolly Top Hospital — Ranked for General Surgery & Hernia Repair Surgery)
• Los Angeles General Medical Center — Los Angeles, CA (Castle Connolly Top Hospital — Ranked for Colon Surgery; major public safety-net hospital serving Los Angeles County)
• Dignity Health — Northridge Hospital Medical Center — Northridge, CA (Regional community hospital serving the San Fernando Valley)