Briggsmore Kidney Center, LLC

Primary specialty

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

License

110000499 Issued in CA

Legal business name

BRIGGSMORE KIDNEY CENTER, LLC

Practice address

2200 Plaza Pkwy
Ste B1-B4
Modesto, CA 95350-6222

Phone

(209) 574-6818

Fax

(209) 574-6816

NPI assigned

Feb 2, 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 identifiers 1

Other names 1

• U.S. Renal Care Parkway Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Usrc ParkwayCCN 052888

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 4, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

24

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

Locations

Affiliated clinicians 4

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

• Mark T Fahlen, MD

  • Nephrology Physician
  • Modesto, CA
  • NPI 1679539415

  Dialysis facility

  Care Compare affiliation Name & address match
• Yuqiang Ge, M.D., PHD

  • Nephrology Physician
  • Modesto, CA
  • NPI 1740588680

  Dialysis facility

  Care Compare affiliation Name & address match
• Chang S Joo, MD

  • Nephrology Physician
  • Modesto, CA
  • NPI 1508868787

  Dialysis facility

  Care Compare affiliation Name & address match
• Tong Sun, MD

  • Nephrology Physician
  • Modesto, CA
  • NPI 1629161336

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1922070283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749131",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749131",
            "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": "2200 PLAZA PKWY",
            "address_2": "STE B1-B4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506222",
            "telephone_number": "209-574-6818",
            "fax_number": "209-574-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGGSMORE KIDNEY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-11-14",
        "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": "110000499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02888F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Parkway Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hollie Briganti
• Christine Briggs, RN
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• Brighton Rehabilitation LLC
• Brighton Rehabilitation, LLC
• Kai Malaika Brinkley

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Modesto, CA
• Providers in Modesto, 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 Nov 14, 2014; 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.