Active NPI
Kidney Dialysis Center of West Los Angeles
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Los Angeles, CA
National Provider Identifier
1548206402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 930000908
- Legal business name
- KIDNEY DIALYSIS CENTER OF WEST LOS ANGELES
- Practice address
- 1801 S la Cienega Blvd
Los Angeles, CA 90035-4641 - Phone
- (310) 840-8688
- Fax
- (805) 433-7655
- NPI assigned
- Jun 21, 2006
- Last updated
- Nov 25, 2013
- 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
- Senior Vice President/General Couns
- Phone
- (214) 736-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 930000908 | CA | Primary |
Addresses
Primary practice location
1801 S la Cienega Blvd
Los Angeles, CA 90035-4641
Mailing address
2400 Dallas Pkwy
Suite 350
Plano, TX 75093-4370
Phone (214) 736-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDC02809F | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
1801 S La Cienega Blvd
Ste 100
Los Angeles, CA 90035
Phone (310) 840-5688
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
- Beverly Hills, CA
- NPI 1932296357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385337600000",
"number": "1548206402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 DALLAS PKWY",
"address_2": "SUITE 350",
"city": "PLANO",
"state": "TX",
"postal_code": "750934370",
"telephone_number": "214-736-2700",
"fax_number": "214-735-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S LA CIENEGA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900354641",
"telephone_number": "310-840-8688",
"fax_number": "805-433-7655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY DIALYSIS CENTER OF WEST LOS ANGELES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2006-06-21",
"last_updated": "2013-11-25",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT/GENERAL COUNS",
"authorized_official_telephone_number": "214-736-2730"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": "930000908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CDC02809F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.