Active NPI
Metropolitan Dialysis Center, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rosemead, CA
National Provider Identifier
1104984830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 550000557
- Legal business name
- METROPOLITAN DIALYSIS CENTER, LLC
- Practice address
- 3100 Del Mar Ave
Rosemead, CA 91770-2326 - Phone
- (562) 495-8075
- NPI assigned
- Dec 5, 2006
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Authorized Official
- Phone
- (214) 736-2732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 550000557 | CA | Primary |
Addresses
Primary practice location
3100 Del Mar Ave
Rosemead, CA 91770-2326
Mailing address
PO Box 844631
Dallas, TX 75284-4631
Phone (214) 736-2700
Other names 1
- U.S. Renal Care Metropolitan Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050706001109 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5092751503 | Practice locations: Rosemead, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC Rosemead Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 24, 2007
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 18
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
3100 Del Mar Ave
Rosemead, CA 91770
Phone (562) 495-8075
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1104984830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844631",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844631",
"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": "3100 DEL MAR AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702326",
"telephone_number": "562-495-8075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN DIALYSIS CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2006-12-05",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-736-2732"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": "550000557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Metropolitan Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.