Organization Active NPI

Lifeline Dialysis South Gate LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • South Gate, CA
National Provider Identifier
1528948353
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
LIFELINE DIALYSIS SOUTH GATE LLC
Practice address
8716 Garfield Ave Unit 100
South Gate, CA 90280-3723
Phone
(818) 521-4539
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Peppina Joy Yegoyan
Title
Ceo
Phone
(818) 521-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

8716 Garfield Ave Unit 100
South Gate, CA 90280-3723

Mailing address

17181 Gresham St
Sherwood Forest, CA 91325-3205
Phone (818) 521-4539

National Provider Directory

National Provider Directory

Locations

8716 Garfield Ave
Unit 100
South Gate, CA 90280
Phone (818) 521-4539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1528948353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17181 GRESHAM ST",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913253205",
            "telephone_number": "818-521-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 GARFIELD AVE UNIT 100",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803723",
            "telephone_number": "818-521-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE DIALYSIS SOUTH GATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "YEGOYAN",
        "authorized_official_first_name": "PEPPINA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-521-4539"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.