Usrc South San Antonio LLC

Primary specialty

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

Legal business name

USRC SOUTH SAN ANTONIO LLC

Doing business as

U.S. Renal Care South San Antonion Dialysis

Practice address

137 Palo Alto Rd
San Antonio, TX 78211-3736

Phone

(210) 924-6733

Fax

(210) 927-4013

NPI assigned

May 11, 2012

Last updated

Oct 28, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE INCAs reported in NPPES

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

Addresses

Other names 1

• U.S. Renal Care South San Antonion Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc South San Antonio DialysisCCN 672742

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Jul 28, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• U.S. Renal Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plano, TX
  • NPI 1588581870
  NPPES parent name

Affiliated clinicians 1

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

• Carolina Arias, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1972761849

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1578822516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PALO ALTO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113736",
            "telephone_number": "210-924-6733",
            "fax_number": "210-927-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC SOUTH SAN ANTONIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE INC",
        "enumeration_date": "2012-05-11",
        "last_updated": "2013-10-28",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care South San Antonion Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usrc Sa Bandera Road LLC (US Renal Care Bandera Road Dialysis)
• Usrc Sa Houston Street, LLC (US Renal Care Houston Street Dialysis)
• Usrc Sa Pleasanton Road LLC (US Renal Care Pleasanton Road Dialysis)
• Usrc San Antonio Home Therapies, LLC (US Renal Care San Antonio Home Therapies)
• Usrc San Saba LLC (US Renal Care Central San Antonio Dialysis)
• Usrc Westover Hills LLC (US Renal Care Westover Hills Dialysis)
• Brittany Usrey, RBT
• Jesse Stephen Usrey
• Keely Ann Ussery
• Usv Optical Inc (Jcpenney Optical)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.