Mobile Dialysis Services, Inc.

Primary specialty

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

Legal business name

MOBILE DIALYSIS SERVICES, INC.

Practice address

801 W Compton Blvd
Compton, CA 90220-2924

Phone

(310) 637-9026

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Jackie Suarez

Title

Supervisor

Phone

(562) 598-2705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Mobile Dialysis Services, Inc. (Compton)CCN 052522

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Sep 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

36

Practitioners 1

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

• Maher A. Azer, M.D.

  • Specialist
  • Los Alamitos, CA
  • NPI 1124097548
  NPD (past)

Affiliated clinicians 1

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

• Bernard M. Azer, D.O.

  • Specialist
  • Los Alamitos, CA
  • NPI 1285686220

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881686053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "562-598-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902202924",
            "telephone_number": "310-637-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIALYSIS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "562-598-2705"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11766G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Creque Miller, MSW
• Sunkyung Min
• Rachel Miriani, M.D.
• Cynthia Renee Mismith, LCSW
• Yolanda D Mitchell-Lee, PA12002
• Kacey Arnesia Mobley-Andrews
• Phillip Mobley I
• Mohammed B.Kader DDS,PC
• Sylvia Molina
• Monica Monroy

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Compton, CA
• Providers in Compton, 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 22, 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.