Kidney Dialysis Center of Templeton,LLC

Primary specialty

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

Legal business name

KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC

Practice address

Templeton Medical Plaza
Suite # 103 ,Los Tablos Ave.
Templeton, CA 93465

Phone

(805) 433-7777

Fax

(805) 433-7655

NPI assigned

Jun 18, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Viral Upponi

Title

Director of Accounts Receivable

Phone

(805) 433-7506

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1144265737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940838",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930940838",
            "telephone_number": "805-433-7777",
            "fax_number": "805-433-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEMPLETON MEDICAL PLAZA",
            "address_2": "SUITE # 103 ,LOS TABLOS AVE.",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "93465",
            "telephone_number": "805-433-7777",
            "fax_number": "805-433-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "UPPONI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "VIRAL",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "805-433-7506",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC52567F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lynn Kellogg, MSAT, ATC
• Julie Marie Kelly, PA
• Libby A Kerr, RN BSN CDE
• Meg Ketchum, NP
• Kevin Forsythe MD Inc
• Chang S. Kim, MD
• Kinetix PT Inc
• Jennifer L King, PA-C
• Loren Bruce Kirk, D.D.S.
• Elvera Klein

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Templeton, CA
• Providers in Templeton, 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 Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.