SAN DIMAS DIALYSIS CENTER A MEDICAL CORPORATION (NPI# 1447285275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447285275 |
| Entity Type | Organization |
| Organization Name | SAN DIMAS DIALYSIS CENTER A MEDICAL CORPORATION |
| Other Organization Name | SAN DIMAS DIALYSIS CENTER, INC. |
| Practice Address |
1335 W Cypress Ave Suite 102 San Dimas CA 91773-3537 |
| Mailing Address |
1335 W Cypress Ave Suite 207 San Dimas CA 91773-3537 |
| Practice Telephone | 9095422900 |
| Practice Fax Number | 9093941800 |
| Mailing Telephone | 9095422777 |
| Mailing Fax Number | 9093941800 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | DR. MOJTABA MOGHADAM (PRESIDENT) |
| Authorized Official Telephone | 9095422900 |
| 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 |
550000175 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SAN DIMAS DIALYSIS CENTER, INC. | Doing Business As Name - Organization |
| Street Address |
1335 W CYPRESS AVE SUITE 102 |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382925 | Mark Allen Baker | Physical Therapist | 1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3516 | 2005-08-09 |
| 1619059714 | Christopher Scott Patterson | Physical Therapist | 1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3537 | 2006-10-19 |
| 1689680654 | Michael Hien Bien | Internal Medicine | 1335 W Cypress Ave, Suite # 205, San Dimas, CA 91773-3537 | 2006-07-31 |
| 1285649962 | Claudio H Gallego | Internal Medicine | 1335 W Cypress Ave, Suite # 205, San Dimas, CA 91773-3537 | 2006-07-30 |
| 1760497457 | California Kidney Specialists | Internal Medicine | 1335 W Cypress Ave, San Dimas, CA 91773-3537 | 2006-07-30 |
| 1932114733 | Mojtaba Moghadam I | Internal Medicine | 1335 W Cypress Ave, Suite # 205, San Dimas, CA 91773-3537 | 2006-07-30 |
| 1154369213 | Covina Hills Sports Medicine | Physical Therapist | 1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3516 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| 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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| 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.