Usrc Compton, LLC

Primary specialty

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

Legal business name

USRC COMPTON, LLC

Practice address

2600 N Wilmington Ave
Compton, CA 90222-2005

Phone

(310) 627-2255

NPI assigned

Mar 4, 2022

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 Weinberg

Title

Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care MLK Community Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Usrc MLK Community DialysisCCN 752577

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Feb 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

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

Part of

US Renal Care Inc

Locations

Affiliated clinicians 2

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

• Luani Lee, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1073747135

  Dialysis facility

  Care Compare affiliation Name & address match
• Lin Wang

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1366974859

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1154078756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LEGACY CIR STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N WILMINGTON AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902222005",
            "telephone_number": "310-627-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC COMPTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE, INC.",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "U.S. Renal Care MLK Community Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• U.S. Healthworks Medical Group, PC
• Joseph Effiong Udi, CAADAC
• Up Next Direct LLC
• Nancy Urena, MFTI
• Dave Mallari Usman, DNP, FNP-C
• Priscilla F Vado
• Veronica Valadez-Salcido
• Elizabeth Valcarcel, MA. LMFT
• Imelda Valencia, BA
• Yaxal Valladares

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Compton, CA
• Providers in Compton, 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 Aug 10, 2022; 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.