La Puente Dialysis Center, Inc.

Primary specialty

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

License

930000458 Issued in CA

Legal business name

LA PUENTE DIALYSIS CENTER, INC.

Practice address

14557 Temple Ave
La Puente, CA 91744-3492

Phone

(626) 917-1719

Fax

(626) 917-2917

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Syed Arif Ali Rizvi, M.D.

Title

President

Phone

(909) 542-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

La Puente Dialysis Center, Inc.CCN 052710

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 8, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

24

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amna Arif Rizvi, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1841483609
  NPD (past)
• Syed Arif Ali Rizvi, M.D.

  • Specialist
  • San Dimas, CA
  • NPI 1659395754
  NPD (past)

Affiliated clinicians 1

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

• Syed Arif Ali Rizvi, M.D.

  • Specialist
  • San Dimas, CA
  • NPI 1659395754

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1730190331",
    "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": "14557 TEMPLE AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917443492",
            "telephone_number": "626-917-1719",
            "fax_number": "626-917-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PUENTE DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SYED ARIF",
        "authorized_official_middle_name": "ALI",
        "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": "930000458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paresh B Kumar, D.D.S
• Romeo Adolfo Kunze Werner, D.D.S
• Kelly Chien-Ju Kuo
• La Puente Adhc Inc.
• La Puente CLHF, Inc.
• La Puente Family Dentistry Apc
• La Puente Medical Diagnostics, Inc.
• La Puente Modern Dentistry, Prof. Corp.
• La Puente Valley Medical Group Inc
• Diana Law

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in La Puente, CA
• Providers in La Puente, 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 Jan 11, 2017; 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.