Centro de Cuidado Renal, LLC

Primary specialty

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

Legal business name

CENTRO DE CUIDADO RENAL, LLC

Practice address

5949 State St
Huntington Park, CA 90255-3139

Phone

(323) 400-6595

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Gunda Jahromi

Title

Corp Secretary

Phone

(323) 400-6522

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Centro de Cuidado Renal, LLCCCN 752572

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Feb 20, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

19

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 5

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

• Carlos R. Gonzalez, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1891722369

  Dialysis facility

  Care Compare affiliation Name & address match
• Kay Khine Kyaw, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1912223850

  Dialysis facility

  Care Compare affiliation Name & address match
• Brian M Lee, MD

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1558457556

  Dialysis facility

  Care Compare affiliation Name & address match
• Stephen Lui, M.D.

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1891770384

  Dialysis facility

  Care Compare affiliation Name & address match
• Lathika Raakesh, MD

  • Nephrology Physician
  • Montebello, CA
  • NPI 1497048672

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1255961397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553139",
            "telephone_number": "323-400-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553139",
            "telephone_number": "323-400-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CUIDADO RENAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "JAHROMI",
        "authorized_official_first_name": "GUNDA",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "323-400-6522"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gunda@statewidere.net",
            "affiliation": "N",
            "endpointDescription": "e mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "5949 State St",
            "city": "Huntington Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902553139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesse Castro
• CC Huntington Park Medical Associates
• CDF Centro de Desarrollo Familiar
• Silvia Cendejas
• Diana Erendira Centeno Flores
• Centro Optico Familiar Inc (Altavista Optical)
• Century Women Medical Group, Inc.
• Vickie Cerda, MSW
• Elizabeth Cervantes
• Cesar E Aranguri, M D, Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, 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 May 19, 2023; 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.