Ontario Holt Dialysis Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ONTARIO HOLT DIALYSIS CENTER, INC.

Practice address

1310 W Holt Blvd
Ontario, CA 91762-3640

Phone

(909) 542-2900

Fax

(909) 592-6000

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Yaseen Bari

Title

Administrator

Phone

(909) 542-2900

Specialties & licenses 1

Addresses

Other names 1

• Pomona Ontario Dialysis Center, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Ontario Holt Dialysis Center, Inc.CCN 552816

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Oct 11, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

28

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 1

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

• Michael Hien Bien, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1689680654
  NPD

Affiliated clinicians 2

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

• Michael Hien Bien, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1689680654

  Dialysis facility

  Care Compare affiliation Name & address match
• Abid Arif Rizvi, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1255582540

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1659770394",
    "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": "91773",
            "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": "1310 W HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623640",
            "telephone_number": "909-542-2900",
            "fax_number": "909-592-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO HOLT DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "BARI",
        "authorized_official_first_name": "YASEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-542-2900"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomona Ontario Dialysis Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ontario Dialysis Center, Inc.
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• Ontario Interventional Center
• Ontario Operating Company Inc
• Ontario Pharmacy Inc.
• Ontario Village Dental
• Ontario-Montclair School District

• Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.