Santa Fe Springs Dialysis LLC

Primary specialty

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

License

550000685 Issued in CA

Legal business name

SANTA FE SPRINGS DIALYSIS LLC

Practice address

11147 Washington Blvd
Whittier, CA 90606-3007

Phone

(562) 695-0827

Fax

(562) 695-1132

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Samuel T. Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sta Fe Springs Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Santa Fe Springs DialysisCCN 552597

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 25, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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

CLIA laboratory certificates

Member of 1

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

• Renal Treatment Centers California Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
  • NPI 1366405748

  Member Of

  NPD member

Affiliated clinicians 3

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

• Jennifer Maria Imparato, DO

  • Nephrology Physician
  • Whittier, CA
  • NPI 1770786469

  Dialysis facility

  Care Compare affiliation Name & address match
• Mark Chun-Liang Lee, MD

  • Nephrology Physician
  • Whittier, CA
  • NPI 1558322479

  Dialysis facility

  Care Compare affiliation Name & address match
• Jayakumar Ravichandran Vidhun, M.D.

  • Nephrology Physician
  • Whittier, CA
  • NPI 1275685638

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1619184199",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11147 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906063007",
            "telephone_number": "562-695-0827",
            "fax_number": "562-695-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE SPRINGS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550000685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619184199",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sta Fe Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sta Fe Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonia Sandoval, RN
• Yolanda Sandoval
• Sandra Madrid M D Inc
• Dyanelle Sanford, CCC-SLP
• Divya Ghiya Sanghvi, F.N.P.
• Santa Fe Springs Female Medical Clinic
• Santa Maria'S Children and Family Center
• Santa Maria'S Children and Family Center
• Kaicey S Santacruz
• Giselle Monique Santana

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Whittier, CA
• Providers in Whittier, 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 Sep 13, 2024; 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.