Universal Artificial Kidney Center LLC

Primary specialty

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

Legal business name

UNIVERSAL ARTIFICIAL KIDNEY CENTER LLC

Practice address

4036 Whittier Blvd
Los Angeles, CA 90023-2560

Phone

(323) 721-9411

NPI assigned

Apr 21, 2019

Organization subpart

No

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

Authorized official

Name

Vijay M Dhawan, MDNPI 1760426415

Title

Board Member

Phone

(213) 700-0390

Specialties & licenses 1

Addresses

Other names 1

• Universal Artificial Kidney Center Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Universal Artificial Kidney Center, LLCCCN 752517

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 26, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

16

Locations

Practitioners 2

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

• Vijay M Dhawan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Montebello, CA
  • NPI 1760426415
  NPD Authorized official
• Kamlesh Taneja Dhawan, MD

  • Cardiovascular Disease Physician
  • Montebello, CA
  • NPI 1821023540
  NPD (past)

Affiliated clinicians 2

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

• Pradip C.P. Chowdhury, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1053348946

  Dialysis facility

  Care Compare affiliation Name & address match
• Edgar P Toscano, MD

  • Nephrology Physician
  • Montebello, CA
  • NPI 1972532042

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1104489509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "213-700-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232560",
            "telephone_number": "323-721-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL ARTIFICIAL KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "213-700-0390",
        "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": [
        {
            "organization_name": "Universal Artificial Kidney Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 21, 2020; 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.