RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC (NPI# 1336212059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336212059 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC |
| Other Organization Name | RAI-COMPTON-LOS ANGELES |
| Practice Address |
11859 Compton Ave Los Angeles CA 90059-2958 |
| Practice Telephone | 3235631140 |
| Practice Fax Number | 3235665253 |
| Mailing Telephone | 3235631140 |
| Mailing Fax Number | 3235665253 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | MR. MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 | BLUE CROSS OF CALIFORNIA | 052590 | 01 |
| CA | CDC70037H | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZR0206Z | 01 |
| Other Name | Type Code |
|---|---|
| RAI-Compton-Los Angeles | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821161597 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 17197 Newhope St, Suite A-d, Fountain Valley, CA 92708-4228 | 2006-11-17 |
| 1376616045 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 290 Hospital Cir, Westminster, CA 92683-3950 | 2006-11-17 |
| 1891868519 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 12761 Harbor Blvd, Garden Grove, CA 92840-5800 | 2006-11-17 |
| 1982777686 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 5714 E Olympic Blvd, Los Angeles, CA 90022-5115 | 2006-11-17 |
| 1285707984 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 535 East First Street, Tustin, CA 92780-3312 | 2006-11-17 |
| 1235202961 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 12555 Garden Grove Blvd, Suite 100, Garden Grove, CA 92843-1902 | 2006-11-17 |
| 1003989732 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 1210 Indiana Ct, Redlands, CA 92374-2896 | 2006-11-17 |
| 1558434282 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 1500 N Waterman Ave, San Bernardino, CA 92404-5111 | 2006-11-17 |
| Street Address |
11859 COMPTON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700814373 | Applied Medical Technologies Inc. | Internal Medicine | 11859 Compton Ave, Los Angeles, CA 90059-2958 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| 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 |
|---|---|---|---|---|
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1720630304 | Kpc Global Dialysis Center of Los Angeles LLC | Clinic/Center | 201 S Alvarado St Ste 220, Los Angeles, CA 90057-2388 | 2019-07-12 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| 1326544925 | Braddock Dialysis LLC | Clinic/Center | 11239 S Western Ave, Los Angeles, CA 90047-4848 | 2018-04-03 |
| 1205388246 | Fresenius Medical Care Ventures, LLC | Clinic/Center | 3705 S Labrea Avenue, Los Angeles, CA 90016-5309 | 2016-10-25 |
| 1629424726 | Downtown Dialysis LLC | Clinic/Center | 2511 W 3rd St, Los Angeles, CA 90057-1923 | 2016-05-06 |
| 1669839973 | Bio-medical Applications of California, Inc. | Clinic/Center | 3575 E Whittier Blvd, Los Angeles, CA 90023-1709 | 2016-01-19 |
| 1588031322 | Barnnyjepp, LLC | Clinic/Center | 1145 W 6th St, Los Angeles, CA 90017-1828 | 2015-08-27 |
| 1811235161 | Total Renal Care Inc | Clinic/Center | 1936 E 1st St, Los Angeles, CA 90033-3413 | 2013-01-22 |
| 1104111491 | Kidney Dialysis Center of Baldwin Hills LLC | Clinic/Center | 3705 S La Brea Ave, Los Angeles, CA 90016-5309 | 2011-06-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, 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.