Freeman Dialysis LLC

Primary specialty

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

Legal business name

FREEMAN DIALYSIS LLC

Doing business as

LA HABRA DIALYSIS

Practice address

1611 W Whittier Blvd
La Habra, CA 90631-3618

Phone

(562) 267-0430

Fax

(562) 266-0045

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LA HABRA DIALYSIS Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers California Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
  • NPI 1366405748

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1912355843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-238-3085",
            "fax_number": "800-268-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313618",
            "telephone_number": "562-267-0430",
            "fax_number": "562-266-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE&CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "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": "1912355843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA HABRA DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LA HABRA DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Flourishing Insight Therapy
• Ana Foss
• Meredith Fouts
• Norma Denise Franco, D.C.
• Freda'S Senior Care LLC
• Elliot J Friedman, D.C.
• Friends of Children Health Center
• Friends of Family Health Center
• Lawrence Fromm, O.D.
• Jonathan Kiyoshi Fujimoto, PHARM D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in La Habra, CA
• Providers in La Habra, 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 Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.