Quotidian Home Dialysis Orange County LLC

Primary specialty

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

Legal business name

QUOTIDIAN HOME DIALYSIS ORANGE COUNTY LLC

Doing business as

Home Dialysis Centers

Practice address

511 S Harbor Blvd
Suite T
La Habra, CA 90631-9374

Phone

(562) 694-8520

Fax

(562) 694-8540

NPI assigned

Mar 20, 2007

Last updated

Mar 26, 2014By 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

Mr. Shawn Mehrabian, MSC

Title

Director of Operation

Phone

(818) 939-2047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Dialysis Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Quotidian Home Dialysis ClinicCCN 552590

Ownership

Profit

Certified

Oct 16, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

2

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

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Raffi R Minasian, MD

  • Nephrology Physician
  • Glendale, CA
  • NPI 1306860465

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1235254541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S HARBOR BLVD",
            "address_2": "SUITE T",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319374",
            "telephone_number": "562-694-8520",
            "fax_number": "562-694-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S HARBOR BLVD",
            "address_2": "SUITE T",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319374",
            "telephone_number": "562-694-8520",
            "fax_number": "562-694-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUOTIDIAN HOME DIALYSIS ORANGE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "818-939-2047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC"
    },
    "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": "CDC52590F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Dialysis Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Purnell, LCSW
• Swati M Purohit, M.D.
• Max Pyke, RN
• Patricia Julia Quintanilla, M.S. CCC-SLP
• Heidi Quirk, PPS
• Rahbar Chiropractic Pain Center Inc
• Farshad Rahbar, DC
• Shohreh Rahbar, DC
• Kavosh Rahimi, MD
• Vanessa Ralston, BSN, RN, CCRN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in La Habra, CA
• Providers in La Habra, 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 Mar 26, 2014; 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.