Monrovia Dialysis Facility Inc

Primary specialty

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

License

A050550 Issued in CA

Legal business name

MONROVIA DIALYSIS FACILITY INC

Practice address

1930 Walker Ave
Monrovia, CA 91016-4847

Phone

(626) 353-8525

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Haresh Mohan Khilnani, M.D.NPI 1912941956

Title

Physician

Phone

(626) 353-8525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Monrovia Dialysis FacilityCCN 752501

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 22, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

25

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 1

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

• Haresh M Khilnani, M.D.

  • Nephrology Physician
  • Arcadia, CA
  • NPI 1912941956
  NPD Authorized official

Affiliated clinicians 1

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

• Haresh M Khilnani, M.D.

  • Nephrology Physician
  • Arcadia, CA
  • NPI 1912941956

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1114460359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE STE 302",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063711",
            "telephone_number": "626-353-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WALKER AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164847",
            "telephone_number": "626-353-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROVIA DIALYSIS FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "KHILNANI",
        "authorized_official_first_name": "HARESH",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-353-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "A050550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semaja Monroe-Green
• Deonte Monroe
• Nyla Monroe
• Monrovia 858 LLC
• Monrovia Arcadia Ambulance Service Inc
• Monrovia Hearing Aid Center
• Monrovia Unified School District
• Alexis Monroy
• Reyna Monroy
• Richard Monroy

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Monrovia, CA
• Providers in Monrovia, 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 Nov 21, 2016; 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.