Professional United Dialysis Center Inc.

Primary specialty

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

Legal business name

PROFESSIONAL UNITED DIALYSIS CENTER INC.

Doing business as

Rosemead Dialysis Center

Practice address

7403 Hellman Ave
Rosemead, CA 91770-2213

Phone

(626) 280-6161

Fax

(626) 280-7887

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Shih

Title

Administrator

Phone

(626) 280-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rosemead Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Rosemead Dialysis CenterCCN 052791

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 20, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

17

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

CLIA laboratory certificates

Affiliated clinicians 4

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

• Paul Hwu, M.D.

  • Nephrology Physician
  • Alhambra, CA
  • NPI 1073895868

  Dialysis facility

  Care Compare affiliation Name & address match
• Hone Soo Kaw, M.D

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1750729588

  Dialysis facility

  Care Compare affiliation Name & address match
• Alexander Pi, D.O.

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1881993202

  Dialysis facility

  Care Compare affiliation Name & address match
• Adam M Sun, MD

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1497712715

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891786018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 HELLMAN AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702213",
            "telephone_number": "626-280-6161",
            "fax_number": "626-280-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 HELLMAN AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702213",
            "telephone_number": "626-280-6161",
            "fax_number": "626-280-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL UNITED DIALYSIS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-280-6161",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "CDC02791F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosemead Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Plant, L.AC
• PO Long Lew, D.O. a Medical Professional Corp.
• Jesusa Portillo, LVN
• Samyrah Powell
• Pro Acupuncture and Herbs Inc
• Prorehab Physical Therapy and Sports Medicine, Apc
• QTK Healthcare Inc
• Franklin Quach
• Quality Care Home Health, Inc.
• Chau Kim Quan

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