SHANTI PRAKASH INC NPI 1104986348

NPI Information

  • NPI: 1104986348
  • Provider Name: SHANTI PRAKASH INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: ADVANCED DIALYSIS CENTER
  • CLIA Number: 05D0997671
  • Address: 3932 DOWNING AVE
    BALDWIN PARK, CA
    ZIP 91706
  • Phone: (626) 856-3333

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NPI Details

SHANTI PRAKASH INC is an end-stage renal disease (esrd) treatment clinic center in Baldwin Park, CA. SHANTI PRAKASH INC NPI is 1104986348. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dialysis Center.

The provider's business location address is:

3932 DOWNING AVE
BALDWIN PARK, CA
ZIP 91706
Phone: (626) 856-3333
Fax: (626) 856-3355

The provider's authorized official is Hiren Shah .
The authorized official title is President and has the following contact phone number (626) 856-3333.

The CLIA number assigned to this NPI record is 05D0997671 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CDC52501FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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