Active NPI
Kidney Center of Van Nuys, Inc
Doing business as U.S. Renal Care Van Nuys Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 930000269
- Legal business name
- KIDNEY CENTER OF VAN NUYS, INC
- Doing business as
- U.S. Renal Care Van Nuys Dialysis
- Practice address
- 14624 Sherman Way
Suite # 106
Van Nuys, CA 91405-2241 - Phone
- (818) 994-2333
- Fax
- (805) 433-7655
- NPI assigned
- Jun 20, 2006
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Authorized Official
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 930000269 | CA | Primary |
Addresses
Primary practice location
14624 Sherman Way
Suite # 106
Van Nuys, CA 91405-2241
Mailing address
PO Box 251549
Plano, TX 75025-1500
Phone (214) 736-2700
Other names 1
- U.S. Renal Care Van Nuys Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302001387 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2062309198 | Practice locations: Van Nuys, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC Van Nuys Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Feb 1, 1983
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 14
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0877105 | Kidney Center of Van Nuys, Inc | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Van Nuys, CA
- NPI 1326353772
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1982869772
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640563200000",
"number": "1184660169",
"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",
"fax_number": "214-736-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY",
"address_2": "SUITE # 106",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052241",
"telephone_number": "818-994-2333",
"fax_number": "805-433-7655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY CENTER OF VAN NUYS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2006-06-20",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": "930000269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Van Nuys Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "U.S. Renal Care Van Nuys Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.