Centro de Cuidado Renal-Ela, LLC

Primary specialty

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

Legal business name

CENTRO DE CUIDADO RENAL-ELA, LLC

Practice address

3575 Whittier Blvd
Los Angeles, CA 90023-1709

Phone

(323) 400-6522

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Gunda Jahromi

Title

Corp Secretary

Phone

(323) 400-6522

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Centro de Cuidado Renal - Ela, LLCCCN 752578

Overall star rating

1.0 of 5

Ownership

Profit

Certified

May 15, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

24

Locations

Interoperability endpoints

• Direct secure messaging: gundaela@cdcrenal.com

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shamik Bhadra, MD

  • Specialist
  • Montebello, CA
  • NPI 1114910908

  Dialysis facility

  Care Compare affiliation Name & address match
• Pradip C.P. Chowdhury, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1053348946

  Dialysis facility

  Care Compare affiliation Name & address match
• Carlos R. Gonzalez, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1891722369

  Dialysis facility

  Care Compare affiliation Name & address match
• Andy Hong, MD

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1508861667

  Dialysis facility

  Care Compare affiliation Name & address match
• Kay Khine Kyaw, M.D.

  • Nephrology Physician
  • Montebello, CA
  • NPI 1912223850

  Dialysis facility

  Care Compare affiliation Name & address match
• Lathika Raakesh, MD

  • Nephrology Physician
  • Montebello, CA
  • NPI 1497048672

  Dialysis facility

  Care Compare affiliation Name & address match
• Maybel Min Tan, M.D

  • Nephrology Physician
  • Montebello, CA
  • NPI 1053657684

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1487301297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231709",
            "telephone_number": "323-400-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231709",
            "telephone_number": "323-400-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CUIDADO RENAL-ELA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "JAHROMI",
        "authorized_official_first_name": "GUNDA",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "323-400-6522"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gundaELA@cdcrenal.com",
            "affiliation": "N",
            "endpointDescription": "administration email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "3575 Whittier Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900231709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 May 19, 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.

Verify at the official NPI Registry.