TOTAL RENAL CARE INC (NPI# 1083898001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083898001 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE INC |
| Other Organization Name | ANTELOPE VALLEY DIALYSIS |
| Practice Address |
1759 W Avenue J Ste 102 Lancaster CA 93534-2703 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6619426400 |
| Practice Fax Number | 6617293985 |
| Mailing Telephone | 6153416793 |
| Mailing Fax Number | 8777906793 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
930000210 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1083898001 | 05 |
| Other Name | Type Code |
|---|---|
| Antelope Valley Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1992358170 | Total Renal Care Inc | Clinic/Center | 1700 Markley St, Ste 122, Norristown, PA 19401-2902 | 2019-07-17 |
| 1760034599 | Total Renal Care Inc | Clinic/Center | 9431 Corkscrew Palms Cir, Estero, FL 33928-6275 | 2019-07-11 |
| 1225691447 | Total Renal Care Inc | Clinic/Center | 1115 N Nova Rd, Daytona Beach, FL 32117-4108 | 2019-04-15 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Total Renal Care Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | TOTAL RENAL CARE INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
1759 W AVENUE J STE 102 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821066325 | Ghassan S Dahhan | Internal Medicine | 1759 W Avenue J, #101, Lancaster, CA 93534-2703 | 2006-03-09 |
| 1962732974 | Nanette Chua Fonte | Internal Medicine | 1759 W Avenue J, Suite 101, Lancaster, CA 93534-2703 | 2010-01-14 |
| 1265610950 | Rendell Esmane Manalo | Internal Medicine | 1759 W Avenue J, Ste 101, Lancaster, CA 93534-2703 | 2008-02-05 |
| 1174629950 | Bassel Hadaya | Internal Medicine | 1759 W Avenue J, Ste 101, Lancaster, CA 93534-2703 | 2006-09-16 |
| 1871562900 | Sung Chul Yang | Internal Medicine | 1759 W Avenue J, Ste 101, Lancaster, CA 93534-2703 | 2006-03-14 |
| 1801864301 | Bassam A Hadaya | Internal Medicine | 1759 W Avenue J, Ste 101, Lancaster, CA 93534-2703 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1124388541 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1650 Manheim Pike, Lancaster, PA 17601-3056 | 2012-05-18 |
| 1770609711 | Antelope Valley Kidney Institute, A Professional Corporation | Clinic/Center | 43932 15th St Reet West, Suite 103, Lancaster, CA 93534-5207 | 2007-03-21 |
| 1730285818 | Antelope Valley Dialysis Center Medical Group, Inc | Clinic/Center | 1759 W Avenue J # 102, Lancaster, CA 93534-2703 | 2006-09-15 |
| 1407968209 | Bio-medical Applications of California, Inc. | Clinic/Center | 44950 Valley Central Way Ste 108-109, Lancaster, CA 93536-7209 | 2006-08-31 |
| 1013959683 | Lancaster Dialysis LLC | Clinic/Center | 3250 W Pleasant Run Rd, Ste 280, Lancaster, TX 75146-1067 | 2006-06-11 |
| 1760445548 | Total Renal Care Texas Limited Partnership | Clinic/Center | 2424 W Pleasant Run Rd, Lancaster, TX 75146-4005 | 2006-04-11 |
| 1629030432 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1412 E King St, Lancaster, PA 17602-3240 | 2006-04-05 |
| 1578525614 | Dva Healthcare Renal Care Inc | Clinic/Center | 1100 West Meeting St, Lancaster, SC 29720-2251 | 2006-04-04 |
| 1548671522 | Regional Dialysis Center of Lancaster LLC | Clinic/Center | 2500 W Pleasant Run Rd, Suite 100, Lancaster, TX 75146-1170 | 2014-05-13 |
| 1811257108 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2100 Harrisburg Pike, Fl 3, Lancaster, PA 17601-2644 | 2012-05-21 |
| Find all providers in LANCASTER | ||||
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| 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.