Woodland Hills Dialysis Center LLC

Primary specialty

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

Legal business name

WOODLAND HILLS DIALYSIS CENTER LLC

Practice address

5939 Canoga Ave
Woodland Hills, CA 91367

Phone

(562) 421-2690

Fax

(562) 421-2060

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence W Jones

Title

Manager

Phone

(562) 421-2690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Woodland Hills DialysisCCN 752511

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 2, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

14

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 1

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

• Brian Barrios Ayuste, M.D.

  • Internal Medicine Physician
  • Granada Hills, CA
  • NPI 1104003458
  NPD (past)

Affiliated clinicians 6

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

• Dayan Kamal Gandhi, M.D, M.S

  • Nephrology Physician
  • Northridge, CA
  • NPI 1285961789

  Dialysis facility

  Care Compare affiliation Name & address match
• Arian Gower, M.D.

  • Nephrology Physician
  • Thousand Oaks, CA
  • NPI 1639531403

  Dialysis facility

  Care Compare affiliation Name & address match
• Ramdas Nanda Kumar, M.D.

  • Nephrology Physician
  • Thousand Oaks, CA
  • NPI 1669631248

  Dialysis facility

  Care Compare affiliation Name & address match
• Sora Lee, M.D.

  • Nephrology Physician
  • Tarzana, CA
  • NPI 1891939237

  Dialysis facility

  Care Compare affiliation Name & address match
• Sohail Nasim, M.D.

  • Nephrology Physician
  • West Hills, CA
  • NPI 1174623920

  Dialysis facility

  Care Compare affiliation Name & address match
• William Yang, M.D.

  • Nephrology Physician
  • Northridge, CA
  • NPI 1609005479

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1366933749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COVER ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081790",
            "telephone_number": "562-421-2690",
            "fax_number": "562-421-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 CANOGA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "562-421-2690",
            "fax_number": "562-421-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HILLS DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-421-2690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derica Woodard
• Woodcourt Doctors Inc.
• Woodhills RX Corp
• Woodland Hills Calabasas Speech and Language Center
• Woodland Hills Cardiology Group, PC
• Woodland Hills Home Health, Inc.
• Woodland Hills Hospice Inc.
• Woodland Hills Medical Clinic II Inc
• Woodland Hills Medical Clinic II Inc.
• Woodland Hills Medical Clinic II, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, 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 Jun 27, 2018; 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.