Usrc Lomita LLC

Primary specialty

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

Legal business name

USRC LOMITA LLC

Doing business as

U.S. Renal Care Lomita Dialysis

Practice address

1830 Lomita Blvd
Lomita, CA 90717-1906

Phone

(310) 530-7796

NPI assigned

Feb 27, 2018

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Lomita Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

USRC Lomita DialysisCCN 052715

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 25, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

21

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 4

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

• Hosayn Khaleeli, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1003824673

  Dialysis facility

  Care Compare affiliation Name & address match
• Grzegorz Majcher, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1003849233

  Dialysis facility

  Care Compare affiliation Name & address match
• Ana Cecilia Ortiz-Guerrero, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1275776536

  Dialysis facility

  Care Compare affiliation Name & address match
• Mahdi Yazdany, M.D.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1316109911

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1801397526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171906",
            "telephone_number": "310-530-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC LOMITA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Lomita Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unified Care Medical Group, Inc. (Unified Care Medical Group)
• Unifiedcare Community Health Center, a California Nonprofit Organization (Unifiedcare Community Health Center)
• United Healthcare Distributors
• Narinder P. Uppal, D.D.S.
• Symar Pal Uppal, DDS
• Jennifer Vallejo
• Nivia Van Damme, LCSW
• Hilary Paige Gereaux Van Dixhorn
• Maa Vili
• Dolores A Villacarlos, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lomita, CA
• Providers in Lomita, 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 Feb 27, 2018; 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.