Rai Care Centers of Southern California II, LLC

Primary specialty

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

Legal business name

RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC

Doing business as

Rai - Juniper Ave - Fontana

Practice address

10557 Juniper Ave Ste a
Fontana, CA 92337-7589

Phone

(909) 854-4336

Fax

(909) 574-1582

NPI assigned

Feb 22, 2008

Last updated

Aug 17, 2021By 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 identifiers 1

Other names 1

• RAI - JUNIPER AVE - FONTANA Doing business as

Member of 1

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

• 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

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1447429568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 JUNIPER AVE STE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377589",
            "telephone_number": "909-854-4336",
            "fax_number": "909-574-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 JUNIPER AVE STE A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377589",
            "telephone_number": "909-854-4336",
            "fax_number": "909-574-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2008-02-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447429568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAI - JUNIPER AVE - FONTANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Rafatzadeh, OD
• Norman Cueto Ragaza, MD
• Usha Raghavan, MD
• Sahar Jennifer Rahebi, MD
• Arezoo Rahmim, MD
• Skylar Rains, MD
• Asma Abid Raja
• Tiffany Rajah
• David Rajakone Rajaratnam, M.D
• Rajurkar Dentistry Incorporated (Cherry Family Dentistry)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fontana, CA
• Providers in Fontana, 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 17, 2021; 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.