Kinter Dialysis, LLC

Primary specialty

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

Legal business name

KINTER DIALYSIS, LLC

Practice address

1055 El Camino Real
Colma, CA 94014-3234

Phone

(628) 529-1031

Fax

(628) 529-1066

NPI assigned

Oct 16, 2020

Organization subpart

No

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

Authorized official

Name

Johns Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other names 1

• Colma Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Colma DialysisCCN 752538

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Nov 19, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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

CLIA laboratory certificates

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockfrd, IL
  • NPI 1154997591

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Daniel Angeli, MD

  • Nephrology Physician
  • Daly City, CA
  • NPI 1326417916

  Dialysis facility

  Care Compare affiliation Name & address match
• Warren Chang, MD

  • Nephrology Physician
  • Daly City, CA
  • NPI 1083674550

  Dialysis facility

  Care Compare affiliation Name & address match
• Christian Cosca Cruz, MD

  • Nephrology Physician
  • Daly City, CA
  • NPI 1023182227

  Dialysis facility

  Care Compare affiliation Name & address match
• Albert C Kao, MD

  • Nephrology Physician
  • Daly City, CA
  • NPI 1225099286

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Ra Nien Tseng, MD

  • Nephrology Physician
  • Daly City, CA
  • NPI 1053371559

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1306444765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 EL CAMINO REAL",
            "city": "COLMA",
            "state": "CA",
            "postal_code": "940143234",
            "telephone_number": "628-529-1031",
            "fax_number": "628-529-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTER DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHNS",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colma Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hermenegildo G Angeles Jr. Medical Corp
• Zhuoyi Huang
• Ryan Jamil Hyams, PHARM. D
• JBL Med Transport
• Lester Jung, OD
• Ella Mantel Kryger, O.D.
• Jenie Chung Lee, OD
• Luxottica of America Inc
• Luxottica of America Inc.
• Stephanie Moo, PHARM.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colma, CA
• Providers in Colma, 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 Dec 2, 2020; 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.