Carson Artificial Kidney Center, LLC

Primary specialty

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

Legal business name

CARSON ARTIFICIAL KIDNEY CENTER, LLC

Practice address

1309 E Carson St
Carson, CA 90745-1631

Phone

(310) 513-1427

Fax

(310) 513-1581

NPI assigned

Jan 19, 2006

Last updated

Aug 22, 2020By 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

Ms. Vicki L Burrier, RN, MBA

Title

Director/Vice-President

Phone

(954) 474-7701

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hosayn Khaleeli, MD

  • Nephrology Physician
  • Torrance, CA
  • NPI 1003824673
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811977531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 CYPRESS RD",
            "address_2": "SUITE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172243",
            "telephone_number": "954-474-7701",
            "fax_number": "954-474-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451631",
            "telephone_number": "310-513-1427",
            "fax_number": "310-513-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON ARTIFICIAL KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRIER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/VICE-PRESIDENT",
        "authorized_official_telephone_number": "954-474-7701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02803F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Joy Caritos, NP
• Janise L Carmichael, LPCC, LMHC
• Caroldale Home
• Nathaniel O Carpena
• Carson Adult Day Health Care Center,Inc. (C & C Carson Adult Day Health Care Center)
• Carson Eye Care Optometry, Inc
• Carson Foot Clinic a Podiatrist Group Inc
• Carson Healthcare Services LLC
• Carson Wellness Pharmacy Inc
• Carson-Avalon Dialysis, LLC (U.S. Renal Care Carson Dialysis)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Carson, CA
• Providers in Carson, 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 Aug 22, 2020; 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.