Eldrist Dialysis LLC

Primary specialty

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

License

550002947 Issued in CA

Legal business name

ELDRIST DIALYSIS LLC

Doing business as

Arcadia Oaks Dialysis

Practice address

721 W Huntington Dr
Arcadia, CA 91007-6734

Phone

(626) 294-9682

Fax

(626) 445-7455

NPI assigned

Apr 15, 2014

Last updated

Apr 24, 2024By 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

Samuel T. Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arcadia Oaks Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Arcadia Oaks DialysisCCN 552787

Overall star rating

4.0 of 5

Ownership

Profit

Certified

May 2, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Arcadia Gardens Dialysis LLC

  dba Pasadena Foothills Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, CA
  • NPI 1760624092

  Member Of

  NPD member
• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

Affiliated clinicians 4

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

• Sevag Balikian, M.D.

  • Nephrology Physician
  • Pasadena, CA
  • NPI 1346485315

  Dialysis facility

  Care Compare affiliation Name & address match
• Sukhpal K Gill, M.D

  • Nephrology Physician
  • Arcadia, CA
  • NPI 1124129580

  Dialysis facility

  Care Compare affiliation Name & address match
• Josephine Hwu, MD

  • Nephrology Physician
  • Alhambra, CA
  • NPI 1194170894

  Dialysis facility

  Care Compare affiliation Name & address match
• Lynn Wang, M.D.

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1598715062

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1174942312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076734",
            "telephone_number": "626-294-9682",
            "fax_number": "626-445-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDRIST DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550002947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174942312",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Oaks Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arcadia Oaks Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Chan MD Inc
• Omoye Ehimare
• Elation Home Health Inc.
• Aaron Elder
• Misha Elder, LCSW
• Laura Elkharbotly, DDS
• Joseph J Elterman, M.D.
• Makan Emadi
• Emergency & Acute Care Medical Corporation
• Emy Chen MD, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arcadia, CA
• Providers in Arcadia, 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 Apr 24, 2024; 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.