Santa Clarita Dialysis, LLC

Primary specialty

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

Legal business name

SANTA CLARITA DIALYSIS, LLC

Practice address

23421 Lyons Ave
Santa Clarita, CA 91355-3028

Phone

(818) 365-1194

NPI assigned

Oct 31, 2015

Last updated

Oct 31, 2015By 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

Omaran Abdeen, MDNPI 1700878410

Title

Managing Partner

Phone

(818) 365-1194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Santa Clarita Dialysis, LLCCCN 552819

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 16, 2017

Medicare certification status

ActiveFrom the Provider of Services file

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omaran A Abdeen, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1700878410
  Authorized official Same address or phone
• Parag Arvind Shah, M.D

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1225020886
  NPD (past)

Affiliated clinicians 5

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

• Omaran A Abdeen, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1700878410

  Dialysis facility

  Care Compare affiliation Name & address match
• Ammar Alnaser, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1073909370

  Dialysis facility

  Care Compare affiliation Name & address match
• Pascal Dabel, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1033306592

  Dialysis facility

  Care Compare affiliation Name & address match
• Billy Try Hour, M.D.

  • Hospitalist Physician
  • Mission Hills, CA
  • NPI 1790097004

  Dialysis facility

  Care Compare affiliation Name & address match
• Parag Arvind Shah, M.D

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1225020886

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1083087928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23421 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913553028",
            "telephone_number": "818-365-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-31",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "ABDEEN",
        "authorized_official_first_name": "OMARAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-365-1194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellene Sandoval
• Karina Sangren
• Santa Clarita Community College District
• Santa Clarita Community College District
• Santa Clarita Congregate Living Inc.
• Santa Clarita Home Health Inc.
• Santa Clarita Radiotherapy Medical Group
• Santa Clarita Surgery Center LP
• Catherine Santizo, PA
• Avann Santos

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Santa Clarita, CA
• Providers in Santa Clarita, 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 Oct 31, 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.