East la Dialysis Center

Primary specialty

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

Legal business name

EAST LA DIALYSIS CENTER

Practice address

5830 Whittier Blvd
Los Angeles, CA 90022-4302

Phone

(323) 887-8545

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maher A. Azer, MDNPI 1124097548

Title

Medical Director

Phone

(562) 426-8881

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

East Los Angeles Dialysis CenterCCN 552574

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Mar 5, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

40

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 6

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.

• Maher A. Azer, M.D.

  • Specialist
  • Los Alamitos, CA
  • NPI 1124097548
  Authorized official Same address or phone
• Carlos Roberto Meza, M.D.

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1063592269
  NPD
• Mohamed Ali El-Shahawy, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1760411151
  NPD (past)
• Samia A Khwaja, M.D.

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1972554160
  NPD (past)
• Marco A Martinez, M.D.

  • Nephrology Physician
  • Cudahy, CA
  • NPI 1700924909
  NPD (past)
• Feliciano Antonio Serrano II, M.D.

  • Specialist
  • Huntington Park, CA
  • NPI 1649225558
  NPD (past)

Affiliated clinicians 3

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

• Mohamed Ali El-Shahawy, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1760411151

  Dialysis facility

  Care Compare affiliation Name & address match
• Marco A Martinez, M.D.

  • Nephrology Physician
  • Cudahy, CA
  • NPI 1700924909

  Dialysis facility

  Care Compare affiliation Name & address match
• Carlos Roberto Meza, M.D.

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1063592269

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528105293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "562-426-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224302",
            "telephone_number": "323-887-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LA DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-426-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC52574F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia La Vonne Easley, MD
• Ann Christine Easley, NP
• Gary Easley
• Lynn M. Easley, LCSW
• East Healthcare Center, LLC (Country Villa East Nursing Center)
• East la Doctors Hospital LP
• East la Emergency Physicians, Inc.
• East la Paz Family Medical Clinic PA
• East la Paz Family Medical Clinic, PC
• East la Paz Medical Clinic (East Family Medical Clinic)

• 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 Aug 22, 2020; 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.