USRC TORRANCE HOME PROGRAM, LLC (NPI# 1528466331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528466331 |
| Entity Type | Organization |
| Organization Name | USRC TORRANCE HOME PROGRAM, LLC |
| Other Organization Name | U.S. RENAL CARE SOUTH BAY HOME PROGRAM |
| Practice Address |
23441 Madison St Suite 320 Torrance CA 90505-4725 |
| Mailing Address |
5851 Legacy Cir Suite 900 Plano TX 75024-5966 |
| Practice Telephone | 3103757173 |
| Practice Fax Number | 3103788756 |
| Mailing Telephone | 2147362732 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | THOMAS L WEINBERG (SVP/GENERAL COUNSEL) |
| Authorized Official Telephone | 2147362732 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, 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 |
| Other Name | Type Code |
|---|---|
| U.S. Renal Care South Bay Home Program | Doing Business As Name - Organization |
| Street Address |
23441 MADISON ST SUITE 320 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143734 | Torrance Endoscopy and Surgical Affiliates, Inc | Clinic/Center | 23441 Madison St, Ste 230, Torrance, CA 90505-4757 | 2005-06-13 |
| 1912351503 | Laboratory Corporation of America | Clinical Medical Laboratory | 23441 Madison St, Building 8 Suite 301, Torrance, CA 90505-4725 | 2016-04-20 |
| 1982965612 | Skypark Surgery Center LLC | Clinic/Center | 23441 Madison St, Suite 115, Torrance, CA 90505-4725 | 2012-05-29 |
| 1487882692 | Sachiko Kodama | Dentist | 23441 Madison St, 150, Torrance, CA 90505-4725 | 2009-06-25 |
| 1184865842 | Alyce Marie Toombs | Nurse Practitioner | 23441 Madison St, Suite 301, Bldg. #8, Torrance, CA 90505-4725 | 2009-03-10 |
| 1053567941 | Awaken Your Eyes Oculoplastic Surgery | Ophthalmology | 23441 Madison St, Suite 120, Torrance, CA 90505-4725 | 2008-08-12 |
| 1205003357 | Mike Sheu | Otolaryngology | 23441 Madison St, Building 8, Suite 130, Torrance, CA 90505-4725 | 2008-05-08 |
| 1437322971 | Sheherbano Mehdi | Internal Medicine | 23441 Madison St, Suite #340, Torrance, CA 90505-4725 | 2008-04-04 |
| 1285810994 | East-west Eye Institute A Medical Corporation | Optometrist | 23441 Madison St, Suite 120, Torrance, CA 90505-4725 | 2008-01-11 |
| 1942428115 | Debra Jean Clydesdale | Preventive Medicine | 23441 Madison St, Suite 220, Torrance, CA 90505-4725 | 2007-04-23 |
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| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
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| 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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| 1922079987 | Pacific South Bay Dialysis, LLC | Clinic/Center | 20911 Earl St, Ste 160, Torrance, CA 90503-4352 | 2006-01-30 |
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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.