LOS ANGELES DIALYSIS CENTER (NPI# 1558320366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558320366 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES DIALYSIS CENTER |
| Other Organization Name | LOS ANGELES DIALYSIS CENTER |
| Practice Address |
3901 S Western Ave Los Angeles CA 90062-1112 |
| Mailing Address |
5200 Virginia Way Sutie 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 3232941310 |
| Practice Fax Number | 3232944034 |
| Mailing Telephone | 6153415895 |
| Mailing Fax Number | 8668905560 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-05-03 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2533821919 |
| 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 |
930000446 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC02695F | 05 |
| Other Name | Type Code |
|---|---|
| Los Angeles Dialysis Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOS ANGELES DIALYSIS CENTER | 3901 S Western Ave, Los Angeles, CA 90062-1112 |
| Street Address |
3901 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90062-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841547460 | Glassland Dialysis LLC | Clinic/Center | 3901 S Western Ave, Los Angeles, CA 90062-1112 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| 1083194773 | Day One Detox Center, Inc | Substance Abuse Rehabilitation Facility | 1421 W 46th St, Los Angeles, CA 90062 | 2018-08-21 |
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1033535794 | Trusana Monique Hall | Licensed Vocational Nurse | 4103 S. Halldale Ave, Los Angeles, CA 90062 | 2014-03-05 |
| 1093139644 | Daniel Garcia | Rehabilitation Practitioner | 3381 Western Ave., Los Angeles, CA 90062 | 2014-02-18 |
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1184902934 | Gerry Lynn Lockhart | Case Manager/Care Coordinator | 3881 S Western Avenue, Los Angeles, CA 90062 | 2011-07-28 |
| 1285921692 | Atlantic Recovery Services | Community/Behavioral Health | 1701 Browning Street, Los Angeles, CA 90062 | 2011-07-06 |
| 1174796452 | Tacora Leggett | Counselor | 5311 S Western Avenue, Los Angeles, CA 90062 | 2008-04-08 |
| Find all providers in zip 90062 | ||||
| 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 |
|---|---|---|---|---|
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1720630304 | Kpc Global Dialysis Center of Los Angeles LLC | Clinic/Center | 201 S Alvarado St Ste 220, Los Angeles, CA 90057-2388 | 2019-07-12 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| 1326544925 | Braddock Dialysis LLC | Clinic/Center | 11239 S Western Ave, Los Angeles, CA 90047-4848 | 2018-04-03 |
| 1205388246 | Fresenius Medical Care Ventures, LLC | Clinic/Center | 3705 S Labrea Avenue, Los Angeles, CA 90016-5309 | 2016-10-25 |
| 1629424726 | Downtown Dialysis LLC | Clinic/Center | 2511 W 3rd St, Los Angeles, CA 90057-1923 | 2016-05-06 |
| 1669839973 | Bio-medical Applications of California, Inc. | Clinic/Center | 3575 E Whittier Blvd, Los Angeles, CA 90023-1709 | 2016-01-19 |
| 1588031322 | Barnnyjepp, LLC | Clinic/Center | 1145 W 6th St, Los Angeles, CA 90017-1828 | 2015-08-27 |
| 1811235161 | Total Renal Care Inc | Clinic/Center | 1936 E 1st St, Los Angeles, CA 90033-3413 | 2013-01-22 |
| 1104111491 | Kidney Dialysis Center of Baldwin Hills LLC | Clinic/Center | 3705 S La Brea Ave, Los Angeles, CA 90016-5309 | 2011-06-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90062 |
Please comment or provide details below to improve the information on LOS ANGELES DIALYSIS CENTER.
| 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.