MK DIALYSIS CENTER AT RIVERSIDE, INC. (NPI# 1245567627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245567627 |
| Entity Type | Organization |
| Organization Name | MK DIALYSIS CENTER AT RIVERSIDE, INC. |
| Other Organization Name | VAN BUREN DIALYSIS |
| Practice Address |
3595 Van Buren Blvd Suite 101 Riverside CA 92503-0311 |
| Practice Telephone | 9095422900 |
| Mailing Telephone | 9095422900 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | MR. MOHAMMED QUTUB KHAN (PRESIDENT/CFO) |
| Authorized Official Telephone | 9517351257 |
| Authorized Official Credential | MD |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1245567627 | 01 |
| Other Name | Type Code |
|---|---|
| Van buren Dialysis | Doing Business As Name - Organization |
| Street Address |
3595 VAN BUREN BLVD SUITE 101 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-0311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043229453 | Mosen Istwani | Internal Medicine | 3595 Van Buren Blvd, Suite 203, Riverside, CA 92503-0311 | 2006-08-05 |
| 1144546326 | Riverside Nephrology Physicians Inc | Specialist | 3595 Van Buren Blvd, Suite # 203, Riverside, CA 92503-0311 | 2010-04-14 |
| 1912008087 | Mohammed Q Khan | Specialist | 3595 Van Buren Blvd, Suite #203, Riverside, CA 92503-0311 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1003396615 | Tricity Riverside Dialysis | Clinic/Center | 7275 Indiana Ave, Riverside, CA 92504-4543 | 2018-08-14 |
| 1215332945 | Iroquois Dialysis LLC | Clinic/Center | 3660 Park Sierra Dr Ste 103, Riverside, CA 92505-3071 | 2014-10-23 |
| 1306240551 | Iroquois Dialysis LLC | Clinic/Center | 3660 Park Sierra Dr Ste 108, Riverside, CA 92505-3071 | 2014-10-17 |
| 1538271333 | Bio-medical Applications of California Inc | Clinic/Center | 3470 La Sierra Ave Ste E, Riverside, CA 92503-5223 | 2006-08-31 |
| 1316971641 | Davita Riverside II LLC | Clinic/Center | 11161 Magnolia Ave, Riverside, CA 92505-3605 | 2006-07-11 |
| 1033172135 | Renal Treatment Centers California Inc | Clinic/Center | 4361 Latham St Ste 100, Riverside, CA 92501-1767 | 2006-04-10 |
| 1144427741 | Namg Home Dialysis LLC | Clinic/Center | 3660 Park Sierra Dr, Ste 103, Riverside, CA 92505-3081 | 2007-06-28 |
| 1013119064 | Namg Home Dialysis LLC | Clinic/Center | 3660 Park Sierra Dr, Ste 108, Riverside, CA 92505-3081 | 2007-06-01 |
| 1922153576 | Kaiser Foundation Hospitals | Clinic/Center | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-01-24 |
| 1811941891 | Riverside Healthcare System, L.p. | Clinic/Center | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2006-05-22 |
| Find all providers in RIVERSIDE | ||||
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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.