SHETEK DIALYSIS LLC (NPI# 1457742678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457742678 |
| Entity Type | Organization |
| Organization Name | SHETEK DIALYSIS LLC |
| Other Organization Name | DAVITA HUNTINGTON DIALYSIS |
| Practice Address |
390 S Fair Oaks Ave Ste 120 Pasadena CA 91105-2540 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6265642818 |
| Practice Fax Number | 6265642889 |
| Mailing Telephone | 6158416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
| Other Name | Type Code |
|---|---|
| Davita Huntington Dialysis | Doing Business As Name - Organization |
| Street Address |
390 S FAIR OAKS AVE STE 120 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| 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 |
|---|---|---|---|---|
| 1740757962 | Fresenius Medical Care Greater Southeast Houston, LLC | Clinic/Center | 5040 Crenshaw Rd Ste 200, Pasadena, TX 77505-3047 | 2018-10-25 |
| 1467941534 | Kinnick Dialysis LLC | Clinic/Center | 1382 Locust St, Pasadena, CA 91106-1515 | 2018-05-04 |
| 1487105920 | Space City Dialysis Pasadena - Dsi, LLC | Clinic/Center | 3402 Burke Rd, Pasadena, TX 77504-1805 | 2016-10-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1497101463 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1210 Southmore Ave, Pasadena, TX 77502-1206 | 2016-05-10 |
| 1740554773 | Liberty Dialysis - Pasadena, LLC | Clinic/Center | 757 S Raymond Ave, Suite 100, Pasadena, CA 91105-3250 | 2012-03-08 |
| 1689948762 | C&h Solutions | Clinic/Center | 1165 Medford Rd, Pasadena, CA 91107-1703 | 2012-03-07 |
| 1760624092 | Arcadia Gardens Dialysis LLC | Clinic/Center | 3722 E Colorado Blvd, Pasadena, CA 91107-3872 | 2009-04-01 |
| 1447362330 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 4901 E Sam Houston Pkwy S, Pasadena, TX 77505-1520 | 2006-08-31 |
| 1972544765 | Pasadena Dialysis LLC | Clinic/Center | 1111 S Arroyo Pkwy, Suite 150, Pasadena, CA 91105-3254 | 2006-06-10 |
| Find all providers in PASADENA | ||||
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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.