SANTA FE SPRINGS REGIONAL DIALYSIS CENTER LLC (NPI# 1811944994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811944994 |
Entity Type | Organization |
Organization Name | SANTA FE SPRINGS REGIONAL DIALYSIS CENTER LLC |
Practice Address |
10012 Norwalk Blvd Suite 190 Santa Fe Springs CA 90670-3343 |
Mailing Address |
3356 W Ball Rd Anaheim CA 92804-3702 |
Practice Telephone | 5629038281 |
Practice Fax Number | 5629038289 |
Mailing Telephone | 7142260618 |
Mailing Fax Number | 7142260700 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2012-11-27 |
Authorized Official Name | DR. GADSALLI RAMASWAMY RAVIKUMAR (PRESIDENT/CEO) |
Authorized Official Telephone | 7142260818 |
Authorized Official Credential | M.D. |
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 |
930000659 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CDC02724G | 05 |
Street Address |
10012 NORWALK BLVD SUITE 190 |
City | SANTA FE SPRINGS |
State | CA |
Zip Code | 90670-3343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326030594 | Santa Fe Community Hemodialysis Center | Clinic/Center | 10012 Norwalk Blvd, Santa Fe Springs, CA 90670-3345 | 2005-08-15 |
1053706366 | Joseph Hernandez | Rehabilitation Practitioner | 10012 Norwalk Blvd, #140, Santa Fe Springs, CA 90670-3343 | 2015-04-02 |
1538559091 | Arlene Perez | Rehabilitation Practitioner | 10012 Norwalk Blvd, Suite 140, Santa Fe Springs, CA 90670-3343 | 2015-02-04 |
1962807792 | Aaron Fermin Galindo | Rehabilitation Practitioner | 10012 Norwalk Blvd, Suite 140, Santa Fe Springs, CA 90670-3343 | 2014-10-22 |
1124435722 | Antonio Corral | Rehabilitation Practitioner | 10012 Norwalk Blvd, Suite 140, Santa Fe Springs, CA 90670-3343 | 2014-07-15 |
1609128024 | Total Renal Care Inc | Clinic/Center | 10012 Norwalk Blvd, Ste 190, Santa Fe Springs, CA 90670-3345 | 2012-10-09 |
1124390661 | Ali Hariri | Counselor | 10012 Norwalk Blvd, Suite 110, Santa Fe Springs, CA 90670-3343 | 2012-01-30 |
1508133950 | Steven Tri | Counselor | 10012 Norwalk Blvd, 110, Santa Fe Springs, CA 90670-3343 | 2011-11-29 |
1578842597 | Natasha Guadalupe Medina | Case Manager/Care Coordinator | 10012 Norwalk Blvd, Suite 140, Santa Fe Springs, CA 90670-3343 | 2011-08-08 |
1902110810 | Felicia Mollinedo | Rehabilitation Practitioner | 10012 Norwalk Blvd, Santa Fe Springs, CA 90670-3343 | 2010-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
Find all providers in zip 90670 |
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 |
---|---|---|---|---|
1386009645 | Fresenius Medical Care Norwalk, LLC | Clinic/Center | 13063 Rosecrans Ave Bldg 1, Santa Fe Springs, CA 90670-4930 | 2015-12-30 |
1760677652 | Bio-medical Applications of California, Inc. | Clinic/Center | 13063 Rosecrans Ave, Bldg. 1, Santa Fe Springs, CA 90670-4930 | 2007-09-13 |
1326030594 | Santa Fe Community Hemodialysis Center | Clinic/Center | 10012 Norwalk Blvd, Santa Fe Springs, CA 90670-3345 | 2005-08-15 |
1609128024 | Total Renal Care Inc | Clinic/Center | 10012 Norwalk Blvd, Ste 190, Santa Fe Springs, CA 90670-3345 | 2012-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
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 |
Find all providers with the same taxonomy |
City | SANTA FE SPRINGS |
Zip Code | 90670 |
Please comment or provide details below to improve the information on SANTA FE SPRINGS REGIONAL DIALYSIS CENTER LLC.
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.