SRS - Ramona LLC

Primary specialty

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

Legal business name

SRS - RAMONA LLC

Practice address

2102 Main St
Ramona, CA 92065-2519

Phone

(615) 499-5119

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Tannenbaum, MDNPI 1346485638

Title

Ceo

Phone

(615) 467-0140

Specialties & licenses 1

Addresses

Other names 1

• Sanderling Dialysis of Ramona Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sanderling Dialysis of RamonaCCN 552872

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jul 8, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

12

Locations

Practitioners 1

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

• Jerome Seymour Tannenbaum, M.D., PH.D.

  • Nephrology Physician
  • Nashville, TN
  • NPI 1346485638
  NPD (past) Authorized official

Affiliated clinicians 2

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

• Joachim Hanno IX, M.D.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1720017536

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammed Danish Neyaz, D.O.

  • Nephrology Physician
  • Escondido, CA
  • NPI 1245459973

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1679016786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198813",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372198813",
            "telephone_number": "615-988-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652519",
            "telephone_number": "615-499-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS - RAMONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-467-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "Sanderling Dialysis of Ramona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle R Snyder, RD, IBCLC
• Jimmy So
• Leslie Virginia Sparks
• Nicholas Ray Spear, PA-C
• Margaret Melinda Sprague, M.D.
• Todd Owen Steinberg, D.O.
• Erica Sterling, LPC
• Katie Stewart, D.C
• Dakota Studley, PT, DPT
• Kelcy Sutton

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ramona, CA
• Providers in Ramona, 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 Mar 27, 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.