LA PALMA DIALYSIS CENTER LLC (NPI# 1235157116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235157116 |
| Entity Type | Organization |
| Organization Name | LA PALMA DIALYSIS CENTER LLC |
| Practice Address |
5451 La Palma Ave Suite 35 La Palma CA 90623-1728 |
| Mailing Address |
3356 W Ball Rd Anaheim CA 92804-3702 |
| Practice Telephone | 7145235970 |
| Practice Fax Number | 7145234404 |
| Mailing Telephone | 7142260818 |
| Mailing Fax Number | 7142260700 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | DR. GADSALLI RAMASWAMY RAVIKUMAR (PRESIDENT/CEO) |
| Authorized Official Telephone | 7142260818 |
| Authorized Official Credential | M.D. |
| 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 |
080000679 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC02627G | 05 |
| Street Address |
5451 LA PALMA AVE SUITE 35 |
| City | LA PALMA |
| State | CA |
| Zip Code | 90623-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516076 | Mark Scheier | Family Medicine | 5451 La Palma Ave, Ste 22, La Palma, CA 90623-1730 | 2005-05-23 |
| 1528462694 | Southern California Foot and Ankle Center | Podiatrist | 5451 La Palma Ave, Suite 26, La Palma, CA 90623-1728 | 2014-10-17 |
| 1730452616 | Ravikumar Medical Corporation | Specialist | 5451 La Palma Ave, Suite 47, La Palma, CA 90623-1728 | 2012-02-22 |
| 1255610739 | Behrooz Ahmadi, M.d A Prof Corp | Specialist | 5451 La Palma Ave, #34, La Palma, CA 90623-1728 | 2011-08-15 |
| 1922398767 | Terrisa S. Ha, M.d. Inc. | Family Medicine | 5451 La Palma Ave, Suite 49, La Palma, CA 90623-1728 | 2011-04-13 |
| 1699064006 | Ruey Jen Chang | Physician Assistant | 5451 La Palma Ave, Suite 25, La Palma, CA 90623-1728 | 2011-04-06 |
| 1376774257 | Dharini M. Patel, Md, Inc | Anesthesiology | 5451 La Palma Ave, Ste 15, La Palma, CA 90623-1728 | 2009-07-27 |
| 1205087079 | Niloofar Leyla Farmani | Internal Medicine | 5451 La Palma Ave, Suite 25, La Palma, CA 90623 | 2008-10-09 |
| 1750552402 | Mark Scheier Md Inc | Clinic/Center | 5451 La Palma Ave, Suite 22, La Palma, CA 90623-1730 | 2008-03-20 |
| 1619152428 | Xinming Fu, Md, Inc | Internal Medicine | 5451 La Palma Ave, Suite 26, La Palma, CA 90623-1728 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026953 | Kimberley Pak | Behavioral Analyst | 6 Centerpointe Dr Ste 700, La Palma, CA 90623 | 2017-07-20 |
| 1881127850 | Gaylynn Motta | Social Worker | 7512 Keith Circle, La Palma, CA 90623 | 2017-04-06 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1205204179 | Joanna L Tran | Physician Assistant | 5451 La Palma Avenue Suite 25, La Palma, CA 90623 | 2015-09-09 |
| 1558783258 | Marilyn Lee | Nurse Practitioner | 1 Centerpointe Dr., Ste 415, La Palma, CA 90623 | 2014-01-15 |
| 1487089157 | Occupational Health Centers of Illinois PC | Clinic/Center | 40 Centerpointe Dr, La Palma, CA 90623 | 2013-09-12 |
| 1619217833 | Seong Woo Rhee | Acupuncturist | 7872 Walker St., Suite#104, La Palma, CA 90623 | 2013-02-25 |
| 1942553458 | Michael Zhang | Dentist | 4511 Montecito Dr., La Palma, CA 90623 | 2012-10-22 |
| 1174824841 | Justin Wu | Internal Medicine | 5451 La Palma Ave Ste 25, La Palma, CA 90623 | 2010-11-10 |
| 1669667762 | Guity N Yeganeh | Pediatrics | 5 Centerpoint Dr., La Palma, CA 90623 | 2007-09-11 |
| Find all providers in zip 90623 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 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.