ANAHEIM HILLS DIALYSIS CENTER LLC (NPI# 1427076306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427076306 |
| Entity Type | Organization |
| Organization Name | ANAHEIM HILLS DIALYSIS CENTER LLC |
| Practice Address |
4201 E La Palma Ave Anaheim CA 92807-1815 |
| Mailing Address |
3356 W Ball Rd Anaheim CA 92804-3702 |
| Practice Telephone | 7149962900 |
| Practice Fax Number | 7149962969 |
| Mailing Telephone | 9142260818 |
| 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 |
550000052 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC52545F | 05 |
| Street Address |
4201 E LA PALMA AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699025460 | Total Renal Care Inc | Clinic/Center | 4201 E La Palma Ave, Anaheim, CA 92807-1815 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| 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 |
|---|---|---|---|---|
| 1609285204 | Fresenius Medical Care Anaheim, LLC | Clinic/Center | 3150 W Lincoln Ave, Suite 100, Anaheim, CA 92801-6022 | 2014-08-07 |
| 1447362249 | Bio-medical Applications of California Inc | Clinic/Center | 511 N Brookhurst St Ste 100, Anaheim, CA 92801-5229 | 2006-08-31 |
| 1073587697 | Dva Renal Healthcare Inc | Clinic/Center | 1341 W La Palma Ave, Anaheim, CA 92801-2817 | 2006-02-13 |
| 1407270804 | Meridian Dialysis LLC | Clinic/Center | 1324 S Euclid St, Anaheim, CA 92802-2002 | 2014-02-06 |
| 1699025460 | Total Renal Care Inc | Clinic/Center | 4201 E La Palma Ave, Anaheim, CA 92807-1815 | 2012-09-19 |
| 1386933349 | Anaheim-buena Park Regional Dialysis Center | Clinic/Center | 3356 W Ball Rd, Suite 110, Anaheim, CA 92804-3702 | 2011-03-30 |
| 1033449459 | Hart Dialysis LLC | Clinic/Center | 1821 W Lincoln Ave, Anaheim, CA 92801-6731 | 2010-01-07 |
| 1922153865 | Kaiser Foundation Hospitals | Clinic/Center | 3460 E La Palma Ave, 3rd Floor, Suite 3132, Anaheim, CA 92806-2020 | 2007-01-23 |
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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.