Holt Dialysis Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HOLT DIALYSIS CENTER, INC.

Practice address

550 Indian Hill Blvd
Pomona, CA 91767-5378

Phone

(909) 398-1550

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Prasad A Jeereddi, MD

Title

Ceo

Phone

(909) 398-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HDC Doing business as

Electronic endpoints 1

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.

• Esmeralda Villegas

  • Adult Companion
  • Jurupa Valley, CA
  • NPI 1235990458
  NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1477133296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675378",
            "telephone_number": "909-398-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "JEEREDDI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-398-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF THE STATE",
            "identifier": "P8JGNBY",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elomeli@adresources.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "550 Indian Hill Blvd",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917675378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra A. Hollenberg, M.D.
• Dimietri Rose Hollimon
• Trevor Hollinger, PA
• Julie Holmgren
• Emily Jean Holmquist, PA
• Andrew Hom
• Homes of Promise
• Ellen Hong
• Ericka Y Hong, M.D.
• Jan Kim Hong, MFT

• Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.