Usrc South Bay, LLC

Primary specialty

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

Legal business name

USRC SOUTH BAY, LLC

Doing business as

U.S. Renal Care South Bay Dialysis

Practice address

4450 182ND St
Redondo Beach, CA 90278-3933

Phone

(310) 542-8032

Fax

(310) 542-8171

NPI assigned

Jul 30, 2015

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care South Bay Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

USRC South Bay DialysisCCN 552833

Overall star rating

3.0 of 5

Ownership

Profit

Certified

May 2, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

15

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 4

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

• Omer Khan, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1396036646

  Dialysis facility

  Care Compare affiliation Name & address match
• Grzegorz Majcher, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1003849233

  Dialysis facility

  Care Compare affiliation Name & address match
• Steven Alan Sawelson, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1740354034

  Dialysis facility

  Care Compare affiliation Name & address match
• Mahdi Yazdany, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1316109911

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1033595194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 DALLAS PKWY",
            "address_2": "SUITE 350",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934370",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 182ND ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783933",
            "telephone_number": "310-542-8032",
            "fax_number": "310-542-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC SOUTH BAY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care South Bay Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unbridled Chances Psychotherapy Professional Corporation
• Sokmom Lim Ung, FNP
• Destiny Uriarte
• Jimmy Urizar
• Andrea Urrutia
• Fides Ynah Manabat Uy
• Amanda Renee Valles, AMFT
• Paula M Van Doren, LCSW
• Natasha Vand, LMFT
• Joan P. Vannatta, P.T.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Redondo Beach, CA
• Providers in Redondo 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 Jul 30, 2015; 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.