Active NPI
Kidney Train LLC.
- Registered Nurse
- Hemet, CA
National Provider Identifier
1700658440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- KIDNEY TRAIN LLC.
- Practice address
- 26355 Carnegie Ave
Hemet, CA 92544-6459 - Phone
- (619) 494-2474
- NPI assigned
- Oct 26, 2023
- Last updated
- Oct 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virydiana Ross, RN
- Title
- Founder/Director
- Phone
- (760) 586-6103
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NU | Primary | |
| Home Health Registered Nurse | 163WH0200X | NU | ||
| Hemodialysis Registered Nurse | 163WH0500X | NU |
Addresses
Primary practice location
26355 Carnegie Ave
Hemet, CA 92544-6459
Mailing address
26355 Carnegie Ave
Hemet, CA 92544-6459
Phone (619) 494-2474
Other practice location 1
921 W 5th Ave
Escondido, CA 92025-3916
Phone (619) 494-2474
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1700658440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26355 CARNEGIE AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925446459",
"telephone_number": "619-494-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26355 CARNEGIE AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925446459",
"telephone_number": "619-494-2474"
}
],
"practiceLocations": [
{
"address_1": "921 W 5th Ave",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920253916",
"country_code": "US",
"telephone_number": "619-494-2474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIDNEY TRAIN LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-25",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "VIRYDIANA",
"authorized_official_title_or_position": "FOUNDER/DIRECTOR",
"authorized_official_telephone_number": "760-586-6103",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.