NORTHRIDGE DIALYSIS CENTER, LLC


Address: 9325 Reseda Blvd, Northridge, CA 91324-2983
Phone: 8189936700

NORTHRIDGE DIALYSIS CENTER, LLC (NPI# 1801128301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801128301
Entity Type Organization
Organization Name NORTHRIDGE DIALYSIS CENTER, LLC
Practice Address 9325 Reseda Blvd
Northridge
CA 91324-2983
Mailing Address 4000 Cover St
Ste 100
Long Beach
CA 90808-1790
Practice Telephone 8189936700
Practice Fax Number 8189936711
Mailing Telephone 5624212690
Mailing Fax Number 5624212060
Enumeration Date 2010-02-08
Last Update Date 2016-11-29
Authorized Official Name VINOD M ASSOMULL (OWNER)
Authorized Official Telephone 8183215800
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
550001462 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 1801128301 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538311196 Northridge Dialysis Center, LLC Clinic/Center 4400 Watermelon Road, Northport, AL 35473 2008-10-15

Office Location

Street Address 9325 RESEDA BLVD
City NORTHRIDGE
State CA
Zip Code 91324-2983

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1235601444 Grace Peprah Marriage & Family Therapist 19037 Community Street, Northridge, CA 91324 2018-12-28
1336635531 Kristel Fortuny Bushner Specialist/Technologist 9555 Reseda Blvd, 309, Northridge, CA 91324 2018-07-11
1710474358 Rara Enterprises Inc Pharmacy 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 2018-04-19
1205343670 Mariana Nicol Valdez Castro Behavior Technician 9335 Reseda Blvd # 101, Northridge, CA 91324 2018-01-05
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1366809915 Tia Brisco Counselor 9700 Reseda Blvd Ste 208, Northridge, CA 91324 2016-01-26
1053780189 Saloni Kadakia Student in an Organized Health Care Education/Training Program Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 2015-09-18
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790342897 Northridge Kidney Center, LLC Clinic/Center 17710 Roscoe Blvd, Northridge, CA 91325 2019-05-23
1861901191 Northridge Kidney Care Center LLC Clinic/Center 19333 Business Center Dr, Northridge, CA 91324-3528 2017-09-29
1477890291 Innovative Dialysis Center of Northridge, LLC Clinic/Center 18546 Roscoe Blvd, Suite 108, Northridge, CA 91324-4663 2013-01-14
1134164700 Kidney Dialysis Center of Northridge,llc Clinic/Center 18546 Roscoe Blvd, Suite # 108, Northridge, CA 91324-4663 2006-06-18

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1891305462 Auberry's Home Hemo Dialysis Clinic/Center 8200 S Normandie Ave, Los Angeles, CA 90044-2336 2020-08-07
1376152645 Navin Dialysis, LLC Clinic/Center 4314 E Jensen Ave, Fresno, CA 93706-9049 2020-07-23
1669080107 Total Renal Care Inc Clinic/Center 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 2020-07-21
1659997112 Arbela Dialysis LLC Clinic/Center 900 Huntington Dr Ste B, San Marino, CA 91108-1825 2020-06-22
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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Competitor

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City NORTHRIDGE
Zip Code 91324

Improve Information

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Dataset Information

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.

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