Coachella Kidney Institute, LLC

Primary specialty

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

Legal business name

COACHELLA KIDNEY INSTITUTE, LLC

Practice address

1413 Sixth Street
Coachella, CA 92236-1711

Phone

(760) 391-5300

Fax

(760) 391-5800

NPI assigned

Jun 19, 2012

Last updated

Feb 20, 2014By 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

Jambur Eriah Chandrashekar, M.D.NPI 1013098557

Title

Administrator

Phone

(760) 347-8181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Coachella Kidney Institute, LLCCCN 552722

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Apr 19, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

25

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

CLIA laboratory certificates

Locations

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.

• Jambur Eriah Chandrashekar, M.D.

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1013098557
  NPD (past) Authorized official

Affiliated clinicians 1

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

• Jambur Eriah Chandrashekar, M.D.

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1013098557

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1851654552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 SIXTH STREET",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361711",
            "telephone_number": "760-391-5300",
            "fax_number": "760-391-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 SIXTH STREET",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361711",
            "telephone_number": "760-391-5300",
            "fax_number": "760-391-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA KIDNEY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "CHANDRASHEKAR",
        "authorized_official_first_name": "JAMBUR",
        "authorized_official_middle_name": "ERIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-347-8181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CJ Professional Corporation (Coachella Joint Pain Center)
• Mitchell David Claire, P.A.
• Clinica Coachella, Inc
• Clinica Medica del Valle, Inc.
• Clinicas de Salud del Pueblo, Inc (Coachella Health Clinic)
• Coachella Valley Parents
• Coachella Valley Rehabilitation
• Janelle Colangelo, PA-C
• Jeffrey Contreras Sr., FNP-C
• Prajedes Elena Corrales

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Coachella, CA
• Providers in Coachella, 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 20, 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.