Active NPI
Usrc Little Tokyo, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Los Angeles, CA
National Provider Identifier
1487013199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC LITTLE TOKYO, LLC
- Practice address
- 420 E 3Rd St
Suite 120
Los Angeles, CA 90013-1644 - Phone
- (213) 625-0706
- NPI assigned
- Feb 23, 2016
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L Weinberg
- Title
- Authorized Official
- Phone
- (214) 736-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
420 E 3Rd St
Suite 120
Los Angeles, CA 90013-1644
Mailing address
2400 Dallas Pkwy
Ste 350
Plano, TX 75093-4370
Phone (214) 736-2700
Other names 1
- U.S. Renal Care Little Tokyo 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 |
|---|---|---|---|---|
| O20160525000708 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8921397365 | Practice locations: Los Angeles, CA |
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 |
|---|---|---|---|
| 05D2112674 | Usrc Little Tokyo LLC Dba U S Renal Care | Certificate of waiver | May 3, 2028 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
420 E 3rd St
Ste 120
Los Angeles, CA 90013
Phone (213) 625-0706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456185600000",
"number": "1487013199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 DALLAS PKWY",
"address_2": "STE 350",
"city": "PLANO",
"state": "TX",
"postal_code": "750934370",
"telephone_number": "214-736-2700",
"fax_number": "214-736-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 3RD ST",
"address_2": "SUITE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131644",
"telephone_number": "213-625-0706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC LITTLE TOKYO, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-736-2730"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Little Tokyo Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.