Organization Active NPI

Comprehensive Renal Services, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rocklin, CA
National Provider Identifier
1932270352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
COMPREHENSIVE RENAL SERVICES, INC.
Practice address
6000 Fairway Dr
#14
Rocklin, CA 95677-4244
Phone
(916) 630-8611
Fax
(916) 630-8665
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leonard Frie
Title
President and Ceo
Phone
(916) 630-8611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X CA Primary

Addresses

Primary practice location

6000 Fairway Dr
#14
Rocklin, CA 95677-4244

Mailing address

6000 Fairway Dr
# 14
Rocklin, CA 95677-4244
Phone (916) 630-8611

Other identifiers 2

IdentifierTypeStateIssuer
CDC02765FMedicaidCA
ZZZ48312ZOtherCAINDEPENDENT RENAL FACILIT

National Provider Directory

National Provider Directory

Locations

6000 Fairway Dr
Ste 14
Rocklin, CA 95677
Phone (916) 624-3871

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932270352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 FAIRWAY DR",
            "address_2": "# 14",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774244",
            "telephone_number": "916-630-8611",
            "fax_number": "916-630-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRWAY DR",
            "address_2": "#14",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774244",
            "telephone_number": "916-630-8611",
            "fax_number": "916-630-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE RENAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "916-630-8611"
    },
    "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": "CDC02765F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT RENAL FACILIT",
            "identifier": "ZZZ48312Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.