Organization Active NPI

Synergy Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Encino, CA
National Provider Identifier
1871375741
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SYNERGY DIALYSIS, LLC
Practice address
16030 Ventura Blvd Ste 110
Encino, CA 91436-2775
Phone
(747) 224-2227
Fax
(818) 471-4001
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Peppina Joy Yegoyan
Title
Ceo/Facility Administrator
Phone
(818) 521-4539

Specialties & licenses 1

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

Addresses

Primary practice location

16030 Ventura Blvd Ste 110
Encino, CA 91436-2775

Mailing address

PO Box 571042
Tarzana, CA 91357-1042
Phone (818) 521-4539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818003953 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9739688664 Practice locations: Encino, CA

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1871375741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571042",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913571042",
            "telephone_number": "818-521-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362775",
            "telephone_number": "747-224-2227",
            "fax_number": "818-471-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "YEGOYAN",
        "authorized_official_first_name": "PEPPINA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO/FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "818-521-4539"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.