LONG BEACH DIALYSIS CENTER LLC (NPI# 1003024647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003024647 |
| Entity Type | Organization |
| Organization Name | LONG BEACH DIALYSIS CENTER LLC |
| Other Organization Name | BIXBY KNOLLS DIALYSIS |
| Practice Address |
3744 Long Beach Blvd Long Beach CA 90807-3310 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5624241403 |
| Practice Fax Number | 5624244310 |
| Mailing Telephone | 6153416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 5327334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
550000754 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1003024647 | 05 |
| Other Name | Type Code |
|---|---|
| Bixby Knolls Dialysis | Doing Business As Name - Organization |
| Street Address |
3744 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1912531377 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 2789 Long Beach Blvd, Long Beach, CA 90806-1519 | 2020-02-25 |
| 1043861172 | Total Renal Care Inc. | Clinic/Center | 1090 Atlantic Ave, Long Beach, CA 90813-3403 | 2019-09-20 |
| 1508116377 | Total Renal Care Inc | Clinic/Center | 5820 Downey Ave, Long Beach, CA 90805-4517 | 2012-09-19 |
| 1770843633 | Long Beach Quest Dialysis Center | Clinic/Center | 3140 Long Beach Blvd, Long Beach, CA 90807-5061 | 2012-05-24 |
| 1194969063 | Total Renal Care Inc | Clinic/Center | 101 18th St Se, Long Beach, WA 98631-2500 | 2009-04-23 |
| 1215032404 | Renal Treatment Centers California Inc | Clinic/Center | 1075 E Pacific Coast Hwy, Long Beach, CA 90806-5089 | 2006-09-13 |
| 1225140122 | Bio-medical Applications of Long Beach, Inc. | Clinic/Center | 440 W Ocean Blvd, Long Beach, CA 90802-4518 | 2006-08-31 |
| 1699887497 | Bio-medical Applications of California, Inc. | Clinic/Center | 145 W Victoria St, Long Beach, CA 90805-2162 | 2006-08-31 |
| 1649298530 | Nephron Dialysis Center of Lakewood LLC | Clinic/Center | 5820 Downey Avenue, Long Beach, CA 90805-4517 | 2006-07-18 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on LONG BEACH DIALYSIS CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.