SRS - Tehachapi LLC

Primary specialty

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

Legal business name

SRS - TEHACHAPI LLC

Practice address

711 Valley Blvd
Tehachapi, CA 93561-2119

Phone

(615) 467-0140

Fax

(615) 259-0693

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jerome S Tannenbaum, M.D.NPI 1346485638

Title

Administrator

Phone

(615) 467-0140

Specialties & licenses 1

Addresses

Other names 1

• Sanderling Dialysis of Tehachapi Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sanderling Dialysis of TehachapiCCN 552790

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Sep 22, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

9

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome Seymour Tannenbaum, M.D., PH.D.

  • Nephrology Physician
  • Nashville, TN
  • NPI 1346485638
  NPD (past) Authorized official

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1932524683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198813",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372198813",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 VALLEY BLVD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612119",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS - TEHACHAPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-467-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanderling Dialysis of Tehachapi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Snow Tehachapi Dental Office Incorporated
• Daily Miguelina Soto Santana, STUDENT
• Sottile Chiropractic
• Danielle N Sottile, D.C.
• Deborah Anne Spaine, PHD
• Bobie Lynn Stallcup, PSY.D.
• Stallion Springs Medical Services a Medical Corporation
• Laurie Michelle Stamps, MFT
• Jennifer Stanley
• Christine Stark

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tehachapi, CA
• Providers in Tehachapi, 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 Mar 27, 2024; 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.