Laurel Canyon Dialysis, LLC

Primary specialty

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

License

552777 Issued in CA

Legal business name

LAUREL CANYON DIALYSIS, LLC

Practice address

8987 Laurel Canyon Blvd
Sun Valley, CA 91352-1732

Phone

(818) 771-9950

Fax

(818) 771-9951

NPI assigned

Jun 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Parag Shah, MDNPI 1225020886

Title

Owner

Phone

(818) 365-1194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Laurel Canyon Dialysis, LLCCCN 552777

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Apr 8, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

30

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parag Arvind Shah, M.D

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1225020886
  NPD (past) Authorized official

Affiliated clinicians 7

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

• Omaran A Abdeen, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1700878410

  Dialysis facility

  Care Compare affiliation Name & address match
• Ammar Alnaser, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1073909370

  Dialysis facility

  Care Compare affiliation Name & address match
• Mrinal Asopa, DO

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1184252009

  Dialysis facility

  Care Compare affiliation Name & address match
• Michael Chau, D.O.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1588036719

  Dialysis facility

  Care Compare affiliation Name & address match
• Pascal Dabel, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1033306592

  Dialysis facility

  Care Compare affiliation Name & address match
• Billy Try Hour, M.D.

  • Hospitalist Physician
  • Mission Hills, CA
  • NPI 1790097004

  Dialysis facility

  Care Compare affiliation Name & address match
• Parag Arvind Shah, M.D

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1225020886

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1215342175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521732",
            "telephone_number": "818-771-9950",
            "fax_number": "818-771-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 LAUREL CANYON BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521732",
            "telephone_number": "818-771-9950",
            "fax_number": "818-771-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CANYON DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-365-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "552777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La United Home Health Care Inc
• Brittney Langworthy
• Lara Medical Corporation
• Lara Pharmacy Corporation
• Fidel M Lara Jr., M.D.
• Laurel Canyon Medical Equipment, Inc.
• Shaema Lynn Lavoie
• Eunjoo Lee, FNP & L.AC
• Kerri Davidove Lee, OD
• Natalya Antoinette Lee

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sun Valley, CA
• Providers in Sun Valley, 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 4, 2015; 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.