Kidney Center of Los Angeles, LLC

Primary specialty

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

License

930000987 Issued in CA

Legal business name

KIDNEY CENTER OF LOS ANGELES, LLC

Practice address

2100 W 3Rd St Ste 105&110
Los Angeles, CA 90057-1944

Phone

(213) 481-3041

Fax

(213) 481-3044

NPI assigned

Jan 30, 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 Los Angeles Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

USRC LA DialysisCCN 052899

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 12, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

22

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.

• Vincent Luvern Anthony, M.D., M.P.H.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1396851903

  Dialysis facility

  Care Compare affiliation Name & address match
• Charles Cho, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1053512566

  Dialysis facility

  Care Compare affiliation Name & address match
• Philip Hom, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1740379668

  Dialysis facility

  Care Compare affiliation Name & address match
• Peter H. Lee, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1932237013

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1982675682",
    "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": "239-791-1747",
            "fax_number": "562-495-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST STE 105&110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571944",
            "telephone_number": "213-481-3041",
            "fax_number": "213-481-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF LOS ANGELES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "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": "930000987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02899F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Los Angeles Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Los Angeles Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Kidd, R.N.
• Elizabeth Kidde, CPNP
• Nadia Lorraine Kidiwa
• Kidney Care a Medical Corp
• Kidney Care Institute Inc
• Kidney Dialysis Center of Baldwin Hills LLC
• Kidney Dialysis Center of West Los Angeles
• Kidney Transplant Associates
• Kids Dental Kare
• N. Isabel Kiefer, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 17, 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.