South Valley Regional Dialysis Center Inc

Primary specialty

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

Legal business name

SOUTH VALLEY REGIONAL DIALYSIS CENTER INC

Practice address

17815 Ventura Blvd
Ste 100
Encino, CA 91316-3600

Phone

(818) 757-4520

Fax

(818) 757-1043

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Sue Vogel Jr.

Title

Sr Vice President

Phone

(770) 541-7922

Specialties & licenses 1

Addresses

Other names 1

• South Valley Dialysis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth S Kleinman, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1689605941
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073517967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "address_2": "STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163610",
            "telephone_number": "818-705-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "address_2": "STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163600",
            "telephone_number": "818-757-4520",
            "fax_number": "818-757-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY REGIONAL DIALYSIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "770-541-7922",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Valley Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Florida Accountable Care Organization Inc
• South Pacific Medical Associates Inc
• South Pacific Rehab Services
• South Pacific Rehabilitation
• South Pacific Sleep Lab, Inc.
• South Valley Senior Care LLC
• Southern California Advanced Diagnostic
• Southern California Allergy
• Southern California Stone Center
• Southwest Hospice Care, Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Encino, CA
• Providers in Encino, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.