GREATER LOS ANGELES DIALYSIS INC (NPI# 1922181056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922181056 |
| Entity Type | Organization |
| Organization Name | GREATER LOS ANGELES DIALYSIS INC |
| Practice Address |
11204 Rush St South El Monte CA 91733-3551 |
| Mailing Address |
1840 S San Gabriel Blvd San Gabriel CA 91776-3930 |
| Practice Telephone | 6265714596 |
| Practice Fax Number | 6265711706 |
| Mailing Telephone | 6265714596 |
| Mailing Fax Number | 6265711706 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | MR. MARINO B DE PERALTA (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 6265714596 |
| 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 |
930000865 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC02755F | 05 | |
| CA | BLUE SHIELD INSURANCE | ZZZ52324Z | 01 |
| Street Address |
11204 RUSH ST |
| City | SOUTH EL MONTE |
| State | CA |
| Zip Code | 91733-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285040105 | Fresenius Medical Care Alhambra, LLC | Clinic/Center | 11204 Rush St, South El Monte, CA 91733-3551 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245717941 | Edelmira N Rivas | Case Manager/Care Coordinator | 2000 Tyler Ave., South El Monte, CA 91733 | 2018-07-25 |
| 1083154231 | Mobilify, LLC | Non-emergency Medical Transport (VAN) | 1224 Santa Anita Ave Ste B3, South El Monte, CA 91733 | 2017-03-06 |
| 1518323500 | Monica Monique Viescas | Case Manager/Care Coordinator | 10113 Fern Street, El Monte, CA 91733 | 2016-01-07 |
| 1972912236 | Central City Community Health Center, Inc. | Clinic/Center | 10050 Garvey Ave Ste 111, El Monte, CA 91733 | 2014-08-11 |
| 1861805095 | Reliable Transportation Services | Non-emergency Medical Transport (VAN) | 968 N. Durfee Ave., S. El Monte, CA 91733 | 2014-06-05 |
| 1578834891 | John K Cheung | Acupuncturist | 9471 Cortada St, #2b, El Monte, CA 91733 | 2012-01-18 |
| 1831476779 | Kasinee Williams | Physician Assistant | 2727 North Peck Rd, El Monte, CA 91733 | 2011-11-07 |
| 1922382183 | Station One Emergency Response Inc | Ambulance | 2519 Merced Ave, South El Monte, CA 91733 | 2011-10-06 |
| 1447538863 | Ruby Paulina Nieto Padilla | Counselor | 2024 Durfee Ave # Wingd, El Monte, CA 91733 | 2011-08-02 |
| 1508164344 | April Pratt | Marriage & Family Therapist | 100 W. Foothill Bl., Suite 101, San Dimas, CA 91733 | 2011-03-02 |
| Find all providers in zip 91733 | ||||
| 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 |
|---|---|---|---|---|
| 1457310807 | Total Renal Care Inc | Clinic/Center | 1938 Tyler Ave, Ste J168, South El Monte, CA 91733-3623 | 2006-03-22 |
| 1285040105 | Fresenius Medical Care Alhambra, LLC | Clinic/Center | 11204 Rush St, South El Monte, CA 91733-3551 | 2014-07-11 |
| 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 | SOUTH EL MONTE |
| Zip Code | 91733 |
Please comment or provide details below to improve the information on GREATER LOS ANGELES DIALYSIS INC.
| 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.