Active NPI
West Coast Dialysis Center, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Long Beach, CA
National Provider Identifier
1619152147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WEST COAST DIALYSIS CENTER, LLC
- Practice address
- 3780 Kilroy Airport Way
Suite 110
Long Beach, CA 90806-2457 - Phone
- (562) 989-3010
- NPI assigned
- Jan 3, 2008
- 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
- Authorized Official
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3780 Kilroy Airport Way
Suite 110
Long Beach, CA 90806-2457
Mailing address
1 World Trade Ctr
Ste 2500
Long Beach, CA 90831-0002
Phone (562) 495-8075
Other names 1
- U.S. Renal Care West Coast Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080123000878 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8022190404 | Practice locations: Long Beach, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC West Coast Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- May 1, 1994
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 21
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1619152147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WORLD TRADE CTR",
"address_2": "STE 2500",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908310002",
"telephone_number": "562-495-8075",
"fax_number": "562-495-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 KILROY AIRPORT WAY",
"address_2": "SUITE 110",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062457",
"telephone_number": "562-989-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST DIALYSIS CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2008-01-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"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 West Coast Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "U.S. Renal Care West Coast Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Long Beach, CA
- West Coast Counceling
- West Coast Counseling Services Inc Dba West Coast Counseling Center
- West Coast Counseling Services Inc Dba West Coast Counseling Center
- West Coast Counseling Services, Inc
- West Coast Dialysis Center, Inc.
- West Coast Endocrine a Professional Corporation
- West Coast Foot and Ankle Podiatric Medical Associates Inc
- West Coast Healthy Living Center
- West Coast Healthy Living Outreach
- West Coast Orthopedics Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.