Santa Fe Springs Regional Dialysis Center LLC

Primary specialty

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

License

930000659 Issued in CA

Legal business name

SANTA FE SPRINGS REGIONAL DIALYSIS CENTER LLC

Practice address

10012 Norwalk Blvd
Suite 190
Santa Fe Springs, CA 90670-3343

Phone

(562) 903-8281

Fax

(562) 903-8289

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gadsalli Ramaswamy Ravikumar, M.D.

Title

President/Ceo

Phone

(714) 226-0818

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1811944994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043702",
            "telephone_number": "714-226-0618",
            "fax_number": "714-226-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 NORWALK BLVD",
            "address_2": "SUITE 190",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703343",
            "telephone_number": "562-903-8281",
            "fax_number": "562-903-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE SPRINGS REGIONAL DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "RAVIKUMAR",
        "authorized_official_first_name": "GADSALLI",
        "authorized_official_middle_name": "RAMASWAMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-226-0818",
        "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": "930000659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02724G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Fe Community Hemodialysis Center
• Santa Fe Home Health
• Santa Fe Hospice
• Santa Fe Springs Modern Dentistry, Inc
• Santa Fe Springs Neighborhood Center
• Santa Fe Springs Urgent Care
• Santa Fe Springs Urgent Care
• Matthew Mikey Santa Rosa
• Katherine Santana
• Alicia Santos

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.