Dialysis Center of Ontario LLC

Primary specialty

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

Legal business name

DIALYSIS CENTER OF ONTARIO LLC

Practice address

2850 Inland Empire Blvd Ste C
Ontario, CA 91764-4659

Phone

(909) 476-2638

Fax

(909) 946-0833

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hla Myint Maung, M.D

Title

Director

Phone

(909) 981-5882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

USRC OntarioCCN 552613

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 15, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

18

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin Wang, M.D.

  • Nephrology Physician
  • Upland, CA
  • NPI 1154353126
  NPD
• Mary Phuong Bui

  • Nephrology Physician
  • Upland, CA
  • NPI 1841225224
  NPD (past)

Affiliated clinicians 2

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

• Mary Phuong Bui

  • Nephrology Physician
  • Upland, CA
  • NPI 1841225224

  Dialysis facility

  Care Compare affiliation Name & address match
• Hla Myint Maung Shin Jian Hwang, M.D.

  • Nephrology Physician
  • Ontario, CA
  • NPI 1356357560

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1356549455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 E. FOOTHILL BLVD,",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-981-5882",
            "fax_number": "909-946-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 INLAND EMPIRE BLVD STE C",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644659",
            "telephone_number": "909-476-2638",
            "fax_number": "909-946-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTER OF ONTARIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "MAUNG",
        "authorized_official_first_name": "HLA",
        "authorized_official_middle_name": "MYINT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-981-5882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Bravo Devera, DC
• Devinderpal Singh Nagra
• Devinderpal Singh Nagra
• Devinderpal Singh Nagra
• Sophia Leeana Devore, DDS
• Diamond Anesthesia Consultants
• Jamie Diamond, MSW, LCSW
• Savina Maria Dias, LMFT
• Linda Valeria Diaz Ochoa
• Arlene Diaz-Cervantes

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ontario, CA
• Providers in Ontario, 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 13, 2013; 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.