Active NPI
Long Beach Dialysis Center, LLC
Doing business as U.S. Renal Care Long Beach Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Long Beach, CA
National Provider Identifier
1487625190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 930000923
- Legal business name
- LONG BEACH DIALYSIS CENTER, LLC
- Doing business as
- U.S. Renal Care Long Beach Dialysis
- Practice address
- 1045 Atlantic Ave
Ste 108
Long Beach, CA 90813-3408 - Phone
- (562) 435-3637
- Fax
- (562) 435-3084
- NPI assigned
- Jan 30, 2006
- Last updated
- Nov 14, 2014
- 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) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 930000923 | CA | Primary |
Addresses
Primary practice location
1045 Atlantic Ave
Ste 108
Long Beach, CA 90813-3408
Mailing address
PO Box 749146
Los Angeles, CA 90074-9146
Phone (562) 495-8075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDC02840F | Medicaid | CA |
Other names 1
- U.S. Renal Care Long Beach 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 |
|---|---|---|---|---|
| O20080306000707 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7517042146 | Practice locations: Long Beach, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC Long Beach Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 2, 1998
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- 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 |
|---|---|---|---|
| 05D0948114 | US Renal Care Long Beach Dialysis | Certificate of waiver | Jun 30, 2028 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
1045 Atlantic Ave
Ste 108
Long Beach, CA 90813
Phone (562) 435-3637
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Long Beach, CA
- NPI 1366448136
Affiliated clinicians 5
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": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415923200000",
"number": "1487625190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749146",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749146",
"telephone_number": "562-495-8075",
"fax_number": "562-495-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "STE 108",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133408",
"telephone_number": "562-435-3637",
"fax_number": "562-435-3084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG BEACH DIALYSIS CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2006-01-30",
"last_updated": "2014-11-14",
"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": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": "930000923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CDC02840F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Long Beach Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Long Beach, CA
- Long Beach Community College District (Student Health Services LBCC)
- Long Beach Comprehensive Health Center
- Long Beach Corner Clinic Inc
- Long Beach Department Health and Human Services
- Long Beach Dialysis Center LLC (Bixby Knolls Dialysis)
- Long Beach Drugs Inc (Atlantic Plaza Pharmacy)
- Long Beach Family Health Care Services I NC. (F&F Adult Day Health Care Center)
- Long Beach Gastroenterology Associates
- Long Beach Healthcare Center LLC
- Long Beach Healthcare, LLC (Sunset Villa Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.