Hemodialysis,Inc.

Primary specialty

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

Legal business name

HEMODIALYSIS,INC.

Practice address

806 S Fair Oaks Ave
Pasadena, CA 91105-2601

Phone

(626) 792-0548

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John R De Palma, M.D.

Title

C.E.O./President

Phone

(818) 500-8736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HUNTINGTON DIALYSIS CENTER Doing business as

Locations

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205835147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W WILSON AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032409",
            "telephone_number": "818-500-8736",
            "fax_number": "818-500-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052601",
            "telephone_number": "626-792-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMODIALYSIS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE PALMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "C.E.O./PRESIDENT",
        "authorized_official_telephone_number": "818-500-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02619F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUNTINGTON DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paula Helu Fernandez
• Claire Nicole Henderson
• James Anthony Henderson, LMFT
• Michelle Henderson
• Suzannah Henderson
• Hope Hendricks-Bacon, SLP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pasadena, CA
• Providers in Pasadena, 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 22, 2020; 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.