Pegasus Dialysis Incorporated

Primary specialty

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

Legal business name

PEGASUS DIALYSIS INCORPORATED

Practice address

3101 Pegasus Dr
Bakersfield, CA 93308-6815

Phone

(661) 203-1435

NPI assigned

Sep 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Cruz Barela Jr., RN

Title

Dialysis Administrator

Phone

(661) 203-1435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1285828202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "address_2": "SUITE 'B'",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015002",
            "telephone_number": "661-326-8060",
            "fax_number": "661-326-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PEGASUS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086815",
            "telephone_number": "661-203-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS DIALYSIS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "BARELA",
        "authorized_official_first_name": "CRUZ",
        "authorized_official_title_or_position": "DIALYSIS ADMINISTRATOR",
        "authorized_official_telephone_number": "661-203-1435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellonie Michelle Peebles
• Gregg P. Peel
• Chelseah Peeples
• Sydney B. Peeples, DPT
• Samantha Peevy
• Pegasus Dialysis, LLC
• Aaron Peinado, PA
• Albert J Peinado, MD
• Ravindra Peiris
• Chantravuth K Pel, LVN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, 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 3, 2007; 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.