Fresenius Medical Care Memorial, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE MEMORIAL, LLC

Doing business as

Fresenius Kidney Care Huntington Beach

Practice address

17762 Beach Blvd Ste 120
Huntington Beach, CA 92647-6860

Phone

(714) 848-0021

Fax

(714) 848-0034

NPI assigned

Oct 20, 2016

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS KIDNEY CARE HUNTINGTON BEACH Doing business as

Electronic endpoints 1

Listed as

FMC-Huntington BeachCCN 552869

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 18, 2019

Medicare certification status

Terminated Voluntary: merger or closure, May 1, 2026From the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

25

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 3

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

• Bio-Medical Applications of California, Inc.

  dba Fresenius Medical Care Fresno North

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fresno, CA
  • NPI 1821269069

  Member Of

  NPD member
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Zavier Shawkat Ahmed, M.D.

  • Nephrology Physician
  • Fountain Valley, CA
  • NPI 1255677134

  Dialysis facility

  Care Compare affiliation Name & address match
• Tarun Marwaha, M.D.

  • Nephrology Physician
  • Fountain Valley, CA
  • NPI 1407964976

  Dialysis facility

  Care Compare affiliation Name & address match
• Paul Berj Ozuzun, M.D.

  • Nephrology Physician
  • Newport Beach, CA
  • NPI 1972868347

  Dialysis facility

  Care Compare affiliation Name & address match
• Kambiz Vahabzadeh, MD

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1659550473

  Dialysis facility

  Care Compare affiliation Name & address match
• Eric Wechsler, M.D.

  • Nephrology Physician
  • Newport Beach, CA
  • NPI 1659469526

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1356892731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 BEACH BLVD STE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476860",
            "telephone_number": "714-848-0021",
            "fax_number": "714-848-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 BEACH BLVD STE 120",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476860",
            "telephone_number": "714-848-0021",
            "fax_number": "714-848-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE MEMORIAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2016-10-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE HUNTINGTON BEACH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRESENIUS KIDNEY CARE HUNTINGTON BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Freeman
• Joshua Freeman
• Cristina E Freese, L.C.S.W.
• Alejandra Fregoso, DPT
• Haifa Freihat
• Friedman Professional Management Co (Four Seasons Surgery Centers of Huntington Beach)
• Sylva Frock, PHD
• Patrick Richard Frohn, A.T.,C
• FTF Pharmacy Corporation (Beach Professional Pharmacy)
• FTF Pharmacy Corporation (Beach Professional Pharmacy)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, 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 Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.