Ontario Dialysis Center LLC

Primary specialty

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

License

550000080 Issued in CA

Legal business name

ONTARIO DIALYSIS CENTER LLC

Doing business as

Ontario Dialysis

Practice address

1950 S Grove Ave
Ste 101
Ontario, CA 91761-5693

Phone

(909) 930-5566

Fax

(909) 930-5690

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Thomas O Usilton Jr.

Title

Group Vice President

Phone

(770) 541-7922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ontario Dialysis Doing business as

Member of 1

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

• Renal Treatment Centers California Inc

  dba Bellflower Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bellflower, CA
  • NPI 1487609384

  Member Of

  NPD member

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1184687345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4435",
            "fax_number": "303-209-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S GROVE AVE",
            "address_2": "STE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615693",
            "telephone_number": "909-930-5566",
            "fax_number": "909-930-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "770-541-7922",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550000080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC52548F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adebukola Elizabeth Olusanya, NURSE PRACTITIONER
• Rachel Olvera
• One Care Hospice of California, LLC
• Ontario del Sol Adhc, LLC
• Ontario Dental Center
• Ontario Dialysis Center, Inc.
• Ontario Dialysis Center,Inc
• Ontario Family Medical Center Inc
• Ontario Grove Healthcare & Wellness Centre, LP
• Ontario Health Clinic, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ontario, CA
• Providers in Ontario, 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 Sep 24, 2007; 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.