PACIFIC ADVANCED KIDNEY SOLUTIONS INC (NPI# 1992160501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992160501 |
| Entity Type | Organization |
| Organization Name | PACIFIC ADVANCED KIDNEY SOLUTIONS INC |
| Practice Address |
20911 Earl St Suite 200 Torrance CA 90503-4352 |
| Mailing Address |
Po Box 2350 Manhattan Beach CA 90267-2350 |
| Practice Telephone | 3104884232 |
| Mailing Telephone | 3104884232 |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |
| Authorized Official Name | FIROOZ PAK (OWNER) |
| Authorized Official Telephone | 3104884232 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
20911 EARL ST SUITE 200 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029145 | Wendy Hamilton | Nurse Practitioner | 20911 Earl St, Suite 440, Torrance, CA 90503-4352 | 2005-08-02 |
| 1972160786 | Christina Marie Vivit | Physical Therapist | 20911 Earl St, Torrance, CA 90503-4352 | 2019-05-28 |
| 1487022836 | Nazir U Khaja Md Inc | Internal Medicine | 20911 Earl St, Suite 180, Torrance, CA 90503-4352 | 2015-09-02 |
| 1326414376 | Amrita Desai | Physician Assistant | 20911 Earl St, Suite 470, Torrance, CA 90503-4352 | 2015-08-13 |
| 1659752418 | Connect Hearing, Inc. | Audiologist | 20911 Earl St, Ste 340, Torrance, CA 90503-4352 | 2015-06-17 |
| 1265841696 | Kristin Andrade, M.d., Inc. | Clinic/Center | 20911 Earl St, Suite 100, Torrance, CA 90503-4352 | 2014-08-11 |
| 1003178914 | John M. Kennedy, M.d., Inc. | Internal Medicine | 20911 Earl St, 200, Torrance, CA 90503-4352 | 2012-06-15 |
| 1518228394 | Ali M. Meibodi, M.d. Inc. | Internal Medicine | 20911 Earl St, 200, Torrance, CA 90503-4352 | 2012-06-07 |
| 1841566189 | Kathleen Beaufait | Acupuncturist | 20911 Earl St, Suite 330, Torrance, CA 90503-4352 | 2012-03-30 |
| 1699062992 | Dianne S Cheung Md Inc | Internal Medicine | 20911 Earl St, Suite340, Torrance, CA 90503-4352 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1932505955 | Kayti Anne Corcoran | Specialist | 23105 Madison St, #212, Torrance, CA 90505-3922 | 2014-11-19 |
| 1740685247 | Larry Roberts | Specialist | 23433 Carlow Rd, Torrance, CA 90505-4557 | 2014-10-27 |
| 1205246659 | Sadhana Nayak-young | Specialist | Lac-dmh 1000 W. Carson Street, Box #498, Harbor Ucla Medical Center, Torrance, CA 90502-2004 | 2014-05-06 |
| 1497172332 | Amber Bridges | Specialist | 1000 W. Carson Street, Box 8, Torrance, CA 90509 | 2014-03-27 |
| 1962835504 | Jane Maureen Hamilton | Specialist | 3540 Redondo Beach Blvd, Torrance, CA 90504-1404 | 2013-08-19 |
| 1386903342 | Fred Bacon Rothell | Specialist | 23530 Arlington Ave, D, Torrance, CA 90501-6000 | 2012-05-11 |
| 1801036751 | Lifescape Imaging Cypress LLC | Specialist | 24584 Hawthorne Blvd, Torrance, CA 90505-6807 | 2009-03-04 |
| 1124263108 | Michelle Tawa | Specialist | 1000 W Carson St # 8, Torrance, CA 90502-2004 | 2008-12-05 |
| 1962667147 | Century Therapy Group | Specialist | 3525 Pacific Coast Hwy Ste C, Torrance, CA 90505-6656 | 2008-07-27 |
| Find all providers in TORRANCE | ||||
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| 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.