Usrc Live Oak, LLC

Primary specialty

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

Legal business name

USRC LIVE OAK, LLC

Practice address

12970 Toepperwein Rd Ste 101
Live Oak, TX 78233-4767

Phone

(210) 202-3028

Fax

(210) 202-3036

NPI assigned

Sep 5, 2019

Organization subpart

Yes

Parent organization

US RENAL CARE INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• US RENAL CARE LIVE OAK DIALYSIS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Live Oak DialysisCCN 742561

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 2, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 1

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

• Lauren Eleanor Tarbox, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1154580223

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1114576998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 TOEPPERWEIN RD STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334767",
            "telephone_number": "210-202-3028",
            "fax_number": "210-202-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC LIVE OAK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC.",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "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": "US RENAL CARE LIVE OAK DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US RENAL CARE LIVE OAK DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• U S Anesthesia Partners of Texas, PA
• Brittany Ann Uhlenbrock, DPT
• Vedanti Yogesh Upadhyaya, D.O.
• Skylar Urias
• Usawa Wellness Services
• Mano Greg Valderaz, O.D.
• Yolanda L Valdes, PA
• Kristen Valdez
• Ronald A Valdez, M.D.
• Valor Anesthesia PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Live Oak, TX
• Providers in Live Oak, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.