Long Beach Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

550000754 Issued in CA

Legal business name

LONG BEACH DIALYSIS CENTER LLC

Doing business as

Bixby Knolls Dialysis

Practice address

3744 Long Beach Blvd
Long Beach, CA 90807-3310

Phone

(562) 424-1403

Fax

(562) 424-4310

NPI assigned

May 18, 2007

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bixby Knolls Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Bixby Knolls DialysisCCN 552614

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 29, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers California Inc

  dba Valley View Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moreno Valley, CA
  • NPI 1407819485

  Member Of

  NPD member

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arvind J Mehta, MD

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1518985613

  Dialysis facility

  Care Compare affiliation Name & address match
• Sapna Singh Patel, MD

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1710140561

  Dialysis facility

  Care Compare affiliation Name & address match
• Bikram Singh Sekhon

  • Nephrology Physician
  • Lakewood, CA
  • NPI 1891039871

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1003024647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073310",
            "telephone_number": "562-424-1403",
            "fax_number": "562-424-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550000754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003024647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bixby Knolls Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bixby Knolls Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Long Beach Community Clinics, Inc
• Long Beach Community College District (Student Health Services LBCC)
• Long Beach Comprehensive Health Center
• Long Beach Corner Clinic Inc
• Long Beach Department Health and Human Services
• Long Beach Dialysis Center, LLC (U.S. Renal Care Long Beach Dialysis)
• Long Beach Drugs Inc (Atlantic Plaza Pharmacy)
• Long Beach Family Health Care Services I NC. (F&F Adult Day Health Care Center)
• Long Beach Gastroenterology Associates
• Long Beach Healthcare Center LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.