Palmdale Regional Dialysis Medical Center Inc

Primary specialty

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

Legal business name

PALMDALE REGIONAL DIALYSIS MEDICAL CENTER INC

Practice address

1643 E Palmdale Blvd
Palmdale, CA 93550-4847

Phone

(661) 540-0925

Fax

(661) 267-6464

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan S Dahhan, M.D.

Title

Administrator

Phone

(661) 267-7645

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Bassam A Hadaya, MD

  • Nephrology Physician
  • Lancaster, CA
  • NPI 1801864301
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1386740470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504847",
            "telephone_number": "661-267-7645",
            "fax_number": "661-267-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504847",
            "telephone_number": "661-540-0925",
            "fax_number": "661-267-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMDALE REGIONAL DIALYSIS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "DAHHAN",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-267-7645",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02869F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmdale Medical Pharmacy Inc
• Palmdale Mental Health Center
• Palmdale Paradise Board & Care Inc
• Palmdale Pediatric Center Inc
• Palmdale Regional Congregate Living, Inc
• Palmdale Regional Women'S Care, Inc.
• Palmdale School District
• Palmdale Urgent Care
• Palmdale Urgent Care Inc
• Palmdale Urology

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Palmdale, CA
• Providers in Palmdale, 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 Jan 11, 2008; 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.