Cudahy Peritoneal Dialysis Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cudahy, CA
NPI 1275158487 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1275158487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- CUDAHY PERITONEAL DIALYSIS CENTER
- Practice address
- 4566 Florence Ave Ste 3
Cudahy, CA 90201-4346 - Phone
- (323) 749-5360
- NPI assigned
- Jun 12, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Marco A Martinez, MD
- Title
- President
- Phone
- (323) 749-5360
Practitioners 1
-
Marco A Martinez, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- Cudahy Peritoneal Dialysis Center
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Dec 28, 2021
- Medicare certification status
- Active
- Dialysis stations
- 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201130002379 | CA | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 1850702648 | Practice locations: Cudahy, CA |
National Provider Directory
Locations
4566 Florence Ave
Ste 3
Bell, CA 90201
Phone (323) 562-0055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
4566 Florence Ave Ste 3
Cudahy, CA 90201-4346
Mailing address
4566 Florence Ave Ste 3
Cudahy, CA 90201-4346
Phone (323) 749-5360
Other names
- Cudahy Peritoneal Dialysis Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | faz | Health Information Exchange (HIE) |
Other providers in Cudahy, CA
- Clinica Santa Clara a Medical Corporation
- Rachel Elizabeth Colon
- Community Family Guidance Center
- Creative Pathways ABA, LLC
- Jessica Joanna Cruz
- Edgar De la Rocha
- Nikhil J Desai
- Tushar P Doshi
- Dr Ajaykumar Amin, a Professional Medical Corporation
- Dr Tushar P. Doshi DDS Inc
All providers in Cudahy, CA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.