Pegasus Dialysis, LLC

Primary specialty

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

License

550001112 Issued in CA

Legal business name

PEGASUS DIALYSIS, LLC

Practice address

3101 Pegasus Dr Ste 100
Bakersfield, CA 93308-6815

Phone

(661) 615-4200

Fax

(661) 615-4299

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Leah Carter, MPH, RD

Title

Vice President

Phone

(661) 342-8059

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Peter S McCauley, MD

  • Nephrology Physician
  • Bakersfield, CA
  • NPI 1629189113
  NPD

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1386828010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH STREET, SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-326-8060",
            "fax_number": "661-326-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PEGASUS DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086815",
            "telephone_number": "661-615-4200",
            "fax_number": "661-615-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "661-342-8059",
        "authorized_official_credential": "MPH, RD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550001112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg P. Peel
• Chelseah Peeples
• Sydney B. Peeples, DPT
• Samantha Peevy
• Pegasus Dialysis Incorporated
• Aaron Peinado, PA
• Albert J Peinado, MD
• Ravindra Peiris
• Chantravuth K Pel, LVN
• Rhett Anthony Blancaflor Pelaez Jr, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, 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 Aug 7, 2014; 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.