SANTA FE SPRINGS REGIONAL DIALYSIS CENTER LLC


Address: 10012 Norwalk Blvd, Suite 190, Santa Fe Springs, CA 90670-3343
Phone: 5629038281

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA CDC02724G 05

Office Location

Street Address 10012 NORWALK BLVD
SUITE 190
City SANTA FE SPRINGS
State CA
Zip Code 90670-3343

Providers in the same location

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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Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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
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Competitor

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City SANTA FE SPRINGS
Zip Code 90670

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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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