Rai Care Centers of Southern California I LLC

Primary specialty

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

Legal business name

RAI CARE CENTERS OF SOUTHERN CALIFORNIA I LLC

Practice address

17197 Newhope St
Suite E
Fountain Valley, CA 92708-4228

Phone

(714) 751-1064

Fax

(714) 751-1098

NPI assigned

Jan 13, 2011

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark R Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountain Valley Home Doing business as

Member of 1

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

• Rai Care Centers of Southern California I, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Fernando, CA
  • NPI 1730479072

  Member Of

  NPD member

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1255636841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 NEWHOPE ST",
            "address_2": "SUITE E",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084228",
            "telephone_number": "714-751-1064",
            "fax_number": "714-751-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17197 NEWHOPE ST",
            "address_2": "SUITE E",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084228",
            "telephone_number": "714-751-1064",
            "fax_number": "714-751-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI CARE CENTERS OF SOUTHERN CALIFORNIA I LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2011-01-13",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255635841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Valley Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• R Sankaram M D a Medical Corporation
• R. Denis Russell, D.P.M., Inc.
• Andrew Philip Rabenstein, M.D.
• Richard Charles Raczka, MD
• Samuel Warren Rahimi-Davidson
• Rai Care Centers of Southern California I, LLC
• Wasim H. Raja, M.D.
• Stephen Ralph Rakower, M.D.
• Ram Mudiyam MD Inc
• Ramesh R. Patel, M.D., FCCP, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fountain Valley, CA
• Providers in Fountain 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 26, 2012; 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.