Temple City Dialysis Facility, Inc.

Primary specialty

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

Legal business name

TEMPLE CITY DIALYSIS FACILITY, INC.

Practice address

9945 Lower Azusa Rd
Temple City, CA 91780-4041

Phone

(626) 442-3400

Fax

(626) 442-4800

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bashir Ahmad, M.D.

Title

President

Phone

(909) 542-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Temple City Dialysis Facility, Inc.CCN 052893

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 13, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

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 2

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

• Junsheng Guo

  • Renal Dialysis Technician
  • Temple City, CA
  • NPI 1730989492
  NPD (past)
• Haresh M Khilnani, M.D.

  • Nephrology Physician
  • Arcadia, CA
  • NPI 1912941956
  NPD (past)

Affiliated clinicians 1

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

• Haresh M Khilnani, M.D.

  • Nephrology Physician
  • Arcadia, CA
  • NPI 1912941956

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609887157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS STREET",
            "address_2": "SUITE 207",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733537",
            "telephone_number": "909-542-2900",
            "fax_number": "909-592-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9945 LOWER AZUSA RD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804041",
            "telephone_number": "626-442-3400",
            "fax_number": "626-442-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE CITY DIALYSIS FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-542-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Yihui Tan, DDS
• Le Tang
• Matthew Tao, PT, DPT
• Tat Health Group LLC
• Temple City Convalescent Hospital Corporation
• Temple City Healthcare, LLC
• Temple City Professional Pharmacy Inc.
• Temple City Unified School District
• Temple Garden Home #3
• Temple Garden Homes 1

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Temple City, CA
• Providers in Temple City, 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.