St. Vincent Dialysis Center, Inc.

Primary specialty

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

License

930000245 Issued in CA

Legal business name

ST. VINCENT DIALYSIS CENTER, INC.

Practice address

201 S Alvarado St
Ste 220
Los Angeles, CA 90057-2388

Phone

(213) 484-7289

Fax

(213) 207-5640

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Alice M Kirchner, RN, MHA

Title

Director Dialysis Services

Phone

(213) 484-7289

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1992700314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572388",
            "telephone_number": "213-484-7289",
            "fax_number": "213-207-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572388",
            "telephone_number": "213-484-7289",
            "fax_number": "213-207-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR DIALYSIS SERVICES",
        "authorized_official_telephone_number": "213-484-7289",
        "authorized_official_credential": "RN, MHA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "930000245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC70030F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicholas St.Pierre

• All providers in Los Angeles, CA
• 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 Feb 16, 2017; 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.