Kidney Center of Panorama City, Inc.

Primary specialty

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

License

930000910 Issued in CA

Legal business name

KIDNEY CENTER OF PANORAMA CITY, INC.

Practice address

14600 Roscoe Blvd
Panorama City, CA 91402-4105

Phone

(818) 901-9822

Fax

(818) 901-9849

NPI assigned

Jun 18, 2006

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Panorama City Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

USRC Panorama DialysisCCN 052827

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 27, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

36

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 6

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

• Ruchika Bhasin, MD

  • Internal Medicine Physician
  • Northridge, CA
  • NPI 1215241740

  Dialysis facility

  Care Compare affiliation Name & address match
• Anthony Paul Nicolaysen, MD

  • Nephrology Physician
  • Mission Hills, CA
  • NPI 1154869576

  Dialysis facility

  Care Compare affiliation Name & address match
• Kalpesh Patel, M.D.

  • Nephrology Physician
  • Calabasas, CA
  • NPI 1902099146

  Dialysis facility

  Care Compare affiliation Name & address match
• Jacob Poulose, MD.

  • Nephrology Physician
  • Northridge, CA
  • NPI 1578723508

  Dialysis facility

  Care Compare affiliation Name & address match
• Hamid Sadeghi, M.D.

  • Nephrology Physician
  • Van Nuys, CA
  • NPI 1184624785

  Dialysis facility

  Care Compare affiliation Name & address match
• Balbir Singh, M.D.

  • Nephrology Physician
  • Van Nuys, CA
  • NPI 1114013927

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1881639342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WORLD TRADE CTR",
            "address_2": "STE 2500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908310002",
            "telephone_number": "562-495-8075",
            "fax_number": "562-495-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024105",
            "telephone_number": "818-901-9822",
            "fax_number": "818-901-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF PANORAMA CITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "930000910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Panorama City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Panorama City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grigor Khatcherian, FNP
• Elizabeth Maratovna Khavkina, PMHNP-BC
• Navid Khodadadi, MD
• Samina Khokhar, M.D.
• Ani Khondkaryan, M.D.
• Candace Taeyun Kim, LCSW
• Diana Kim
• Eugene L Kim, MD
• Hyungju Joyce Kim, PHARMD
• Jason Myungjoon Kim, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Panorama City, CA
• Providers in Panorama City, 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 3, 2020; 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.