Usrc North Hollywood, LLC

Primary specialty

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

Legal business name

USRC NORTH HOLLYWOOD, LLC

Doing business as

U.S. Renal Care North Hollywood Dialysis

Practice address

13019 Victory Blvd
North Hollywood, CA 91606-2925

Phone

(323) 678-4840

NPI assigned

Aug 10, 2020

Last updated

Apr 13, 2021By the provider in NPPES

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

Chairman/President

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care North Hollywood Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

USRC North HollywoodCCN 752543

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Apr 18, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

25

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 5

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

• Hooman Kashani, DO

  • Nephrology Physician
  • Encino, CA
  • NPI 1124117452

  Dialysis facility

  Care Compare affiliation Name & address match
• Kalpesh Patel, M.D.

  • Nephrology Physician
  • Calabasas, CA
  • NPI 1902099146

  Dialysis facility

  Care Compare affiliation Name & address match
• Jacob Poulose, MD.

  • Nephrology Physician
  • Northridge, CA
  • NPI 1578723508

  Dialysis facility

  Care Compare affiliation Name & address match
• Nima Rabbani, D.O., M.S.

  • Nephrology Physician
  • Encino, CA
  • NPI 1619179454

  Dialysis facility

  Care Compare affiliation Name & address match
• Hamid Sadeghi, M.D.

  • Nephrology Physician
  • Van Nuys, CA
  • NPI 1184624785

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1982215323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13019 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062925",
            "telephone_number": "323-678-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC NORTH HOLLYWOOD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2020-08-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care North Hollywood Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care North Hollywood Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, 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 13, 2021; 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.