KIDNEY CENTER OF LOS ANGELES, LLC (NPI# 1982675682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982675682 |
| Entity Type | Organization |
| Organization Name | KIDNEY CENTER OF LOS ANGELES, LLC |
| Other Organization Name | U.S. RENAL CARE LOS ANGELES DIALYSIS |
| Practice Address |
1125 W 6th St 101 Los Angeles CA 90017-1811 |
| Mailing Address |
1 World Trade Ctr Ste 2500 Long Beach CA 90831-0002 |
| Practice Telephone | 2134813041 |
| Practice Fax Number | 2134813044 |
| Mailing Telephone | 5624958075 |
| Mailing Fax Number | 5624958076 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362732 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
930000987 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC02899F | 05 |
| Other Name | Type Code |
|---|---|
| U.S. Renal Care Los Angeles Dialysis | Doing Business As Name - Organization |
| Street Address |
1125 W 6TH ST 101 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178612 | Emma Natalie Matus | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017 | 2020-09-15 |
| 1649883059 | Francisca Martinez | Rehabilitation Counselor | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2020-08-25 |
| 1811546542 | Julio Cesar Sanchez | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2019-09-05 |
| 1003390550 | Anthony Chase In Winter | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2018-09-20 |
| 1750862058 | Pamela Ann Smith | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2018-08-24 |
| 1407343478 | Bernadette Caroline Gurney | Marriage & Family Therapist | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2018-04-16 |
| 1750880498 | Lisa Ann Smith | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2018-02-08 |
| 1619484060 | James Charles Burns | Community Health Worker | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2018-01-08 |
| 1750833125 | Susan Arne' Lowe | Marriage & Family Therapist | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2016-11-01 |
| 1891242202 | Citlali Arvizu | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| 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 |
|---|---|---|---|---|
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1720630304 | Kpc Global Dialysis Center of Los Angeles LLC | Clinic/Center | 201 S Alvarado St Ste 220, Los Angeles, CA 90057-2388 | 2019-07-12 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| 1326544925 | Braddock Dialysis LLC | Clinic/Center | 11239 S Western Ave, Los Angeles, CA 90047-4848 | 2018-04-03 |
| 1205388246 | Fresenius Medical Care Ventures, LLC | Clinic/Center | 3705 S Labrea Avenue, Los Angeles, CA 90016-5309 | 2016-10-25 |
| 1629424726 | Downtown Dialysis LLC | Clinic/Center | 2511 W 3rd St, Los Angeles, CA 90057-1923 | 2016-05-06 |
| 1669839973 | Bio-medical Applications of California, Inc. | Clinic/Center | 3575 E Whittier Blvd, Los Angeles, CA 90023-1709 | 2016-01-19 |
| 1588031322 | Barnnyjepp, LLC | Clinic/Center | 1145 W 6th St, Los Angeles, CA 90017-1828 | 2015-08-27 |
| 1811235161 | Total Renal Care Inc | Clinic/Center | 1936 E 1st St, Los Angeles, CA 90033-3413 | 2013-01-22 |
| 1104111491 | Kidney Dialysis Center of Baldwin Hills LLC | Clinic/Center | 3705 S La Brea Ave, Los Angeles, CA 90016-5309 | 2011-06-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on KIDNEY CENTER OF LOS ANGELES, 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.