SANTA CLARITA KIDNEY CENTER INC. NPI 1275505588

NPI Information

NPI: 1275505588
Provider Name: SANTA CLARITA KIDNEY CENTER, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D0911847

Address:
23861 MCBEAN PKWY
E-11
VALENCIA, CA
ZIP 91355
Phone: (661) 222-7370
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SANTA CLARITA KIDNEY CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Valencia, CA. SANTA CLARITA KIDNEY CENTER, INC. NPI is 1275505588. The provider is registered as an organization entity type.

The provider's business location address is:

23861 MCBEAN PKWY
E-11
VALENCIA, CA
ZIP 91355-058
Phone: (661) 222-7370
Fax: (661) 222-7374

The provider's authorized official is Jerry Green .
The authorized official title is Secretary and has the following contact phone number (562) 421-2690.

The CLIA number assigned to this NPI record is 05D0911847 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 11/29/2016.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	930000242	CALIFORNIA	Yes

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
1	052778	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
2	CDC02778F	MEDICAID	CALIFORNIA

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: 4/28/2024

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