Active NPI
Hemodialysis, Inc.
- Non-emergency Medical Transport (VAN)
- Glendale, CA
National Provider Identifier
1700885647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- HEMODIALYSIS, INC.
- Doing business as
- GLEN TRANS
- Practice address
- 710 W Wilson Ave
Glendale, CA 91203-2409 - Phone
- (818) 500-8736
- NPI assigned
- Jul 20, 2005
- 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
- John R De Palma, M.D.
- Title
- C.E.O./President
- Phone
- (818) 500-8736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
710 W Wilson Ave
Glendale, CA 91203-2409
Mailing address
710 W Wilson Ave
Glendale, CA 91203-2409
Phone (818) 500-8736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN00208F | Medicaid | CA |
Other names 1
- GLEN TRANS
National Provider Directory
National Provider Directory- Tax ID family
- Glen Trans
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glendale, CA
- NPI 1003815986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700885647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W WILSON AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032409",
"telephone_number": "818-500-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W WILSON AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032409",
"telephone_number": "818-500-8736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEMODIALYSIS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DE PALMA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "C.E.O./PRESIDENT",
"authorized_official_telephone_number": "818-500-8736",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTN00208F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GLEN TRANS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.