Active NPI
Carson-Avalon Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Carson, CA
National Provider Identifier
1700186350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CARSON-AVALON DIALYSIS, LLC
- Doing business as
- U.S. Renal Care Carson Dialysis
- Practice address
- 930 E Dominguez St Ste a
Carson, CA 90746-3625 - Phone
- (310) 532-5100
- Fax
- (310) 532-5111
- NPI assigned
- Oct 29, 2010
- 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
930 E Dominguez St Ste a
Carson, CA 90746-3625
Mailing address
PO Box 251549
Plano, TX 75025-1500
Phone (214) 736-2700
Other names 1
- U.S. Renal Care Carson 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 |
|---|---|---|---|---|
| O20101230000876 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0143418418 | Practice locations: Carson, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2024239 | Carson-Avalon Dialysis, LLC | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
930 E Dominguez St
Ste B
Carson, CA 90746
930 E Dominguez St
Ste A
Carson, CA 90746
Phone (310) 532-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1700186350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251549",
"city": "PLANO",
"state": "TX",
"postal_code": "750251500",
"telephone_number": "214-736-2700",
"fax_number": "214-736-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 E DOMINGUEZ ST STE A",
"city": "CARSON",
"state": "CA",
"postal_code": "907463625",
"telephone_number": "310-532-5100",
"fax_number": "310-532-5111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARSON-AVALON DIALYSIS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2010-10-29",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"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 Carson Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "U.S. Renal Care Carson Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carson, CA
- Carson Artificial Kidney Center, LLC
- Carson Eye Care Optometry, Inc
- Carson Foot Clinic a Podiatrist Group Inc
- Carson Healthcare Services LLC
- Carson Wellness Pharmacy Inc
- Nyiema Desiree' Carter, PSYD
- Manuel Jesus Casillas, MASSAGE THERAPIST
- Clyde Cassel, R. PH.
- Joletta Denise Cassel, PHARM TECH
- Myrna Lapid Cauguiran, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.