Active NPI
Chipeta Dialysis LLC
Doing business as Los Alamitos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Los Alamitos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CHIPETA DIALYSIS LLC
- Doing business as
- Los Alamitos Dialysis
- Practice address
- 4141 Katella Ave
Los Alamitos, CA 90720-3406 - Phone
- (714) 952-0175
- Fax
- (714) 952-0180
- NPI assigned
- Jan 29, 2009
- Last updated
- May 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
4141 Katella Ave
Los Alamitos, CA 90720-3406
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 238-3085
Other names 1
- Los Alamitos Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090528000024 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0547319337 | Practice locations: Los Alamitos, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Los Alamitos Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 16, 2011
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 24
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1105403 | Los Alamitos Dialysis | Certificate of waiver | Sep 22, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cerritos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1255681011
Member Of
Locations
4141 Katella Ave
Los Alamitos, CA 90720
Phone (714) 952-0175
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1427296433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-238-3085",
"fax_number": "800-268-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 KATELLA AVE",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203406",
"telephone_number": "714-952-0175",
"fax_number": "714-952-0180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIPETA DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-29",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Alamitos Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Los Alamitos Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.