ONTARIO DIALYSIS CENTER LLC (NPI# 1184687345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184687345 |
Entity Type | Organization |
Organization Name | ONTARIO DIALYSIS CENTER LLC |
Other Organization Name | ONTARIO DIALYSIS |
Practice Address |
1950 S Grove Ave Ste 101 Ontario CA 91761-5693 |
Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
Practice Telephone | 9099305566 |
Practice Fax Number | 9099305690 |
Mailing Telephone | 6153204435 |
Mailing Fax Number | 3032097821 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-09-24 |
Authorized Official Name | THOMAS O USILTON JR. (GROUP VICE PRESIDENT) |
Authorized Official Telephone | 7705417922 |
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 |
550000080 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CDC52548F | 05 |
Other Name | Type Code |
---|---|
Ontario Dialysis | Doing Business As Name - Organization |
Street Address |
1950 S GROVE AVE STE 101 |
City | ONTARIO |
State | CA |
Zip Code | 91761-5693 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922333764 | Renal Treatment Centers California Inc | Clinic/Center | 1950 S Grove Ave, Ste 101-105, Ontario, CA 91761-5693 | 2009-10-13 |
1538233093 | Maria A. Cruz Agustin | Dentist | 1950 S Grove Ave, Ste. 106 A, Ontario, CA 91761-5693 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
Find all providers in zip 91761 |
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 |
---|---|---|---|---|
1437538618 | Trailstone Dialysis LLC | Clinic/Center | 2403 S Vineyard Ave, Ste D, Ontario, CA 91761-6471 | 2015-05-21 |
1023360955 | Wallowa Dialysis LLC | Clinic/Center | 2148 W 4th St, Ontario, OH 44906-1200 | 2012-10-02 |
1992971774 | Ontario Dialysis Center, Inc. | Clinic/Center | 1001 West 6th Street, Ontario, CA 91764 | 2008-05-01 |
1356549455 | Dialysis Center of Ontario LLC | Clinic/Center | 2850 Inland Empire Blvd Ste C, Ontario, CA 91764-4659 | 2007-07-10 |
1770520488 | Ontario Dialysis Center,inc | Clinic/Center | 1001 W 6th St, Ontario, CA 91762-1209 | 2006-06-01 |
1073504635 | Saint Alphonsus Nephrology Center | Clinic/Center | 515 East Ln, Ontario, OR 97914-3953 | 2005-11-02 |
1396027181 | Kaiser Foundation Hospitals | Clinic/Center | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2011-09-16 |
1922333764 | Renal Treatment Centers California Inc | Clinic/Center | 1950 S Grove Ave, Ste 101-105, Ontario, CA 91761-5693 | 2009-10-13 |
1053363689 | Total Renal Care Inc | Clinic/Center | 515 East Ln, Ontario, OR 97914-3953 | 2006-05-16 |
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1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
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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.