KINNICK DIALYSIS LLC (NPI# 1467941534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467941534 |
| Entity Type | Organization |
| Organization Name | KINNICK DIALYSIS LLC |
| Other Organization Name | ROSE CITY DIALYSIS |
| Practice Address |
1382 Locust St Pasadena CA 91106-1515 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 6263957769 |
| Practice Fax Number | 6263957723 |
| Mailing Telephone | 6153415895 |
| Mailing Fax Number | 8668905560 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|
| Rose City Dialysis | Doing Business As Name - Organization |
| Street Address |
1382 LOCUST ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| 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 |
| 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 |
| 1457742678 | Shetek Dialysis LLC | Clinic/Center | 390 S Fair Oaks Ave, Ste 120, Pasadena, CA 91105-2540 | 2015-02-10 |
| 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.