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TOTAL RENAL CARE INC NPI 1457310807


NPI Information

NPI: 1457310807
Provider Name: TOTAL RENAL CARE INC

Doing Business As: GREATER EL MONTE DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D0663604

Address:
1938 TYLER AVE
STE J168
SOUTH EL MONTE, CA
ZIP 91733
Phone: (626) 350-6692
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in South El Monte, CA. TOTAL RENAL CARE INC NPI is 1457310807. The provider is registered as an organization entity type.
The provider Is Doing Business As Greater El Monte Dialysis Center.

The provider's business location address is:

1938 TYLER AVE
STE J168
SOUTH EL MONTE, CA
ZIP 91733-623
Phone: (626) 350-6692
Fax: (626) 350-6986

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D0663604 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 7/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment930000467CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457310807MEDICAIDCALIFORNIA

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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