San Fernando West Kidney Center

Primary specialty

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

License

052588 Issued in CA

Legal business name

SAN FERNANDO WEST KIDNEY CENTER

Practice address

7230 Medical Ctr
Suite# 101-102
West Hills, CA 91307-1907

Phone

(818) 657-0213

Fax

(818) 657-0131

NPI assigned

Jul 15, 2006

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanne Wu

Title

Administrator

Phone

(818) 657-0213

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1972529527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE # 205",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-657-0213",
            "fax_number": "818-657-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CTR",
            "address_2": "SUITE# 101-102",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-657-0213",
            "fax_number": "818-657-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO WEST KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-657-0213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "052588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC70036G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masoud Salekian, DMD
• Roee Reuven Salem
• Sam Abbassi, MD, Inc. (Prime Eye Care Specialists, Inc.)
• Russ Alan Samet, O.D.
• Samuel Kremen, M.D. Inc. (Kremen & Pesselnick, M.D.'s)
• San Fernando West Kidney Center L.P
• Victoria Mae Sansevieri, ATC, CSCS
• Allison Joy Santi, M.D.
• Kristine Santoian
• Alexandria Soma Sarkar, MD, MPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Hills, CA
• Providers in West Hills, 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 9, 2015; 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.