Home Dialysis Centers of Rancho Cucamonga LLC

Primary specialty

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

Legal business name

HOME DIALYSIS CENTERS OF RANCHO CUCAMONGA LLC

Doing business as

Home Dialysis Centers

Practice address

8239 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0714

Phone

(909) 945-2104

Fax

(909) 945-2152

NPI assigned

Oct 23, 2009

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Mehrabian, MSC

Title

Director of Operations

Phone

(818) 939-2047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Dialysis Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Home Dialysis Centers of Rancho CucamongaCCN 552675

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Oct 21, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 8

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

• Pascal Dabel, M.D.

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1033306592

  Dialysis facility

  Care Compare affiliation Name & address match
• Victor Joseph Kabbany, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1568623635

  Dialysis facility

  Care Compare affiliation Name & address match
• Hooman Kashani, DO

  • Nephrology Physician
  • Encino, CA
  • NPI 1124117452

  Dialysis facility

  Care Compare affiliation Name & address match
• Raffi R Minasian, MD

  • Nephrology Physician
  • Glendale, CA
  • NPI 1306860465

  Dialysis facility

  Care Compare affiliation Name & address match
• Sapna Singh Patel, MD

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1710140561

  Dialysis facility

  Care Compare affiliation Name & address match
• Artashes Patrikyan, MD

  • Nephrology Physician
  • Glendale, CA
  • NPI 1972624591

  Dialysis facility

  Care Compare affiliation Name & address match
• Nima Rabbani, D.O., M.S.

  • Nephrology Physician
  • Encino, CA
  • NPI 1619179454

  Dialysis facility

  Care Compare affiliation Name & address match
• Jonathan Sung

  • Nephrology Physician
  • Torrance, CA
  • NPI 1477057859

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1720314982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 ROCHESTER AVE",
            "address_2": "SUITE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300714",
            "telephone_number": "909-945-2104",
            "fax_number": "909-945-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8239 ROCHESTER AVE",
            "address_2": "SUITE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300714",
            "telephone_number": "909-945-2104",
            "fax_number": "909-945-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIALYSIS CENTERS OF RANCHO CUCAMONGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "818-939-2047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720314982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Dialysis Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Dialysis Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridjae Holston, ACSW
• Jessica Holt
• Regina S Holt, D.C.
• Caroline Hiroko Holte, PSY.D.
• Kimberly M Holton
• Home Health Care Solutions, Inc.
• Home Health Mastercare Inc
• Home Instead Senior Care (Branlyn Prominence, Inc.)
• Home Touch Hospice and Palliative Care, Inc
• Hometown Medical Supplies LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Apr 8, 2022; 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.