Active NPI
Peritoneal Dialysis Center of America, Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Montebello, CA
National Provider Identifier
1750495669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- PERITONEAL DIALYSIS CENTER OF AMERICA, INC
- Practice address
- 3112 W Beverly Blvd
Montebello, CA 90640-2217 - Phone
- (323) 722-2053
- Fax
- (323) 722-2063
- NPI assigned
- Aug 18, 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
- Pradip CP Chowdhury, MD
- Title
- Vice President
- Phone
- (323) 371-4182
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3112 W Beverly Blvd
Montebello, CA 90640-2217
Mailing address
3112 W Beverly Blvd
Montebello, CA 90640-2217
Phone (323) 722-2053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A79279 | Other | CA | KAVITHA KANAKARAJ, MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070410000751 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2860595964 | Practice locations: Montebello, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Peritoneal Dialysis Center of America, Inc.
- Overall star rating
- Ownership
- Profit
- Certified
- Oct 19, 2007
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1086277 | Peritoneal Dialysis Center of America Inc | Certificate of waiver | Jul 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
3112 W Beverly Blvd
Montebello, CA 90640
Phone (323) 722-2053
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
- Montebello, CA
- NPI 1053348946
-
- Nephrology Physician
- Montebello, CA
- NPI 1891722369
Affiliated clinicians 7
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": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1750495669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402217",
"telephone_number": "323-722-2053",
"fax_number": "323-722-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402217",
"telephone_number": "323-722-2053",
"fax_number": "323-722-2063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERITONEAL DIALYSIS CENTER OF AMERICA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "CHOWDHURY",
"authorized_official_first_name": "PRADIP",
"authorized_official_middle_name": "CP",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "323-371-4182",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAVITHA KANAKARAJ, MD",
"identifier": "A79279",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.