Active NPI
Queen's Dialysis Unit, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- QUEEN'S DIALYSIS UNIT, INC.
- Practice address
- 1135 S Sunset Ave
Suite 103
West Covina, CA 91790-3937 - Phone
- (626) 337-4245
- Fax
- (626) 480-0761
- NPI assigned
- Aug 10, 2006
- 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
- Dr. Claudio H. Gallego, M.D.
- Title
- President
- Phone
- (909) 542-2900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | CA | Primary |
Addresses
Primary practice location
1135 S Sunset Ave
Suite 103
West Covina, CA 91790-3937
Mailing address
1335 Cypress Street
Suite 207
San Dimas, CA 91773-3537
Phone (909) 542-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061011000469 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9436155637 | Practice locations: West Covina, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Queens Dialysis Unit, Inc.
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 23, 2001
- Medicare certification status
- Active
- Dialysis stations
- 21
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
1335 Cypress St
Ste 207
San Dimas, CA 91773
Phone (909) 542-2900
1135 S Sunset Ave
Ste 103
West Covina, CA 91790
Phone (626) 337-4245
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- San Dimas, CA
- NPI 1285649962
-
- Specialist
- San Dimas, CA
- NPI 1659395754
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710998380",
"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": "917733537",
"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": "1135 S SUNSET AVE",
"address_2": "SUITE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903937",
"telephone_number": "626-337-4245",
"fax_number": "626-480-0761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEEN'S DIALYSIS UNIT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GALLEGO",
"authorized_official_first_name": "CLAUDIO",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-542-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, 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.
- 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.