Organization Active NPI

San Gabriel Nephrology Services LLC

Doing business as Quality Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Gabriel, CA
National Provider Identifier
1841524360
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SAN GABRIEL NEPHROLOGY SERVICES LLC
Doing business as
Quality Dialysis Center
Practice address
801 S San Gabriel Blvd
San Gabriel, CA 91776-2724
Phone
(626) 281-1903
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Lakhi Sakhrani, MDNPI 1518913037
Title
Ceo
Phone
(626) 281-1903

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

801 S San Gabriel Blvd
San Gabriel, CA 91776-2724

Mailing address

PO Box 2559
San Gabriel, CA 91778-2559
Phone (626) 281-1903

Other names 1

  • Quality Dialysis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000545 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 7517007545 Practice locations: San Gabriel, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
San Gabriel Nephrology Services, LLCCCN 552657
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Jun 4, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
36

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1841524360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2559",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917782559",
            "telephone_number": "626-281-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762724",
            "telephone_number": "626-281-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL NEPHROLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "SAKHRANI",
        "authorized_official_first_name": "LAKHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-281-1903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "Quality Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.