Sylmar Dialysis LLC

Primary specialty

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

Legal business name

SYLMAR DIALYSIS LLC

Practice address

12151 San Fernando Road
Sylmar, CA 91342-5003

Phone

(818) 465-9464

Fax

(818) 367-0340

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Vinod M Assomull, M.D.

Title

Owner

Phone

(818) 321-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sylmar Dialysis CenterCCN 552778

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Apr 6, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

32

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

Affiliated clinicians 4

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

• Brian Barrios Ayuste, M.D.

  • Internal Medicine Physician
  • Granada Hills, CA
  • NPI 1104003458

  Dialysis facility

  Care Compare affiliation Name & address match
• Kalyani Nilesh Mehta, MD

  • Nephrology Physician
  • Granada Hills, CA
  • NPI 1699899724

  Dialysis facility

  Care Compare affiliation Name & address match
• Moufid Nemeh, M.D.

  • Specialist
  • Northridge, CA
  • NPI 1508923160

  Dialysis facility

  Care Compare affiliation Name & address match
• Carmen S Slavov, MD

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1043205909

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1871903385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COVER ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081790",
            "telephone_number": "562-421-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 SAN FERNANDO ROAD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913425003",
            "telephone_number": "818-465-9464",
            "fax_number": "818-367-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLMAR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ASSOMULL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-321-5800",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871903385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeb Sydejko, RPH, PHARM D, JD
• Ghassan Syed
• Sylmar Board & Care
• Sylmar Board & Care II
• Sylmar Dental Corp.
• Sylmar Health and Rehabilitation Center Inc. (Sylmar Health and Rehabilitation Center)
• Sylmar Health Care Professionals Medical Group Inc.
• Sylmar Hospice Care, Inc
• Sylmar Medical Group Physician Assistant Inc
• Sylmar Physician Medical Group Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sylmar, CA
• Providers in Sylmar, 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 29, 2016; 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.