SANTA FE SPRINGS DIALYSIS LLC (NPI# 1619184199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619184199 |
Entity Type | Organization |
Organization Name | SANTA FE SPRINGS DIALYSIS LLC |
Other Organization Name | STA FE SPRINGS DIALYSIS |
Practice Address |
11147 Washington Blvd Whittier CA 90606-3007 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 5626950827 |
Practice Fax Number | 5626951132 |
Mailing Telephone | 6153416793 |
Mailing Fax Number | 8337902174 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-10-22 |
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 |
550000685 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1619184199 | 05 |
Other Name | Type Code |
---|---|
Sta Fe Springs Dialysis | Doing Business As Name - Organization |
Street Address |
11147 WASHINGTON BLVD |
City | WHITTIER |
State | CA |
Zip Code | 90606-3007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558322479 | Mark Chun-liang Lee | Internal Medicine | 11147 Washington Blvd, Whittier, CA 90606-3007 | 2006-03-30 |
1093132649 | Willy Singh Do Inc | Internal Medicine | 11147 Washington Blvd, Whittier, CA 90606-3007 | 2014-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
Find all providers in zip 90606 |
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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1003879479 | Orange Dialysis LLC | Clinic/Center | 10055 Whittwood Dr, Whittier, CA 90603-2313 | 2006-04-07 |
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1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
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.