Total Renal Care Inc

Primary specialty

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

License

930000659 Issued in CA

Legal business name

TOTAL RENAL CARE INC

Doing business as

Los Nietos Dialysis

Practice address

10012 Norwalk Blvd
Ste 190
Santa Fe Springs, CA 90670-3345

Phone

(562) 903-8281

Fax

(562) 903-8289

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

Sr Director Licensure&Certfication

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Los Nietos Dialysis Doing business as

Listed as

SRS-Los Nietos DialysisCCN 052724

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jun 11, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
  • NPI 1295024206

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Antiem Bui, D.O.

  • Nephrology Physician
  • Lakewood, CA
  • NPI 1336569300

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1609128024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-238-3085",
            "fax_number": "800-268-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 NORWALK BLVD",
            "address_2": "STE 190",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703345",
            "telephone_number": "562-903-8281",
            "fax_number": "562-903-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SR DIRECTOR LICENSURE&CERTFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "930000659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609128024",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Nietos Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Nietos Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyne Torres
• Makayla Torres
• Rocio M Torres, B.A.
• Salomon Torres
• Veronica Olivia Torres, LCSW
• Diana Tran
• Heidi Vu Tran, PHARM. D.
• Winnie Tran
• Tranquility Hospice Inc
• Rayline Felicia Trevino

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.