Lincoln Heights Dialysis Center, LLC

Primary specialty

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

Legal business name

LINCOLN HEIGHTS DIALYSIS CENTER, LLC

Practice address

1833 Johnston Street
Los Angeles, CA 90031

Phone

(323) 287-9558

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Mei W Shih, RN

Title

Assistant Administrator

Phone

(626) 318-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

End-stage renal disease facility certification: CCN 752604

Legal name

LINCOLN HEIGHTS DIALYSIS CENTER

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Jan 17, 2024

Last certification

Jan 17, 2024

Ownership / control type

For Profit

Facility address

1833 Johnston St
Lincoln Heights, CA 90031

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1912633207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 JOHNSTON STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90031",
            "telephone_number": "323-287-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 JOHNSTON STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90031",
            "telephone_number": "323-287-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HEIGHTS DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "MEI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "626-318-0303",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis David Linares
• Maria Cristina Linares, MSW, PPSC, LCSW
• Savanah Linares, RN
• Glenda Cruz Linchangco
• Linco Pharmacy, Inc.
• Lincoln Heights Family and Industrial Medical Clinic
• Lincoln Heights Treatment Center, LLC
• Lincoln Heights Treatment Center, LLC
• Lincoln Heights Urgent Care
• Saul Victor Lincoln, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.