Active NPI
Animas Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 930001009
- Legal business name
- ANIMAS DIALYSIS LLC
- Practice address
- 950 S Eastern Ave
Los Angeles, CA 90022-4801 - Phone
- (323) 262-2229
- Fax
- (323) 262-9418
- NPI assigned
- Feb 5, 2009
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 930001009 | CA | Primary |
Addresses
Primary practice location
950 S Eastern Ave
Los Angeles, CA 90022-4801
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083853667 | Medicaid | CA |
Other names 1
- Doctors Dialysis of East Los Angeles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100615000946 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6507915857 | Practice locations: Los Angeles, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Montebello, CA
- NPI 1568601789
6507915857
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Doctors Dialysis Center of East Los Angeles
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 15, 1992
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 32
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0866803 | Doctors Dialysis of East Los Angeles | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Animas Dialysis LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Montebello, CA
- NPI 1568601789
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1083853667",
"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": "950 S EASTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900224801",
"telephone_number": "323-262-2229",
"fax_number": "323-262-9418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANIMAS DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-05",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"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": "930001009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083853667",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctors Dialysis of East Los Angeles",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Doctors Dialysis of East Los Angeles",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.