CERRITOS DIALYSIS CENTER LLC NPI 1649298522

NPI Information

NPI: 1649298522
Provider Name: CERRITOS DIALYSIS CENTER LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 05D0998714
Address: 19222 PIONEER BLVD
CERRITOS, CA
ZIP 90703
Phone: (562) 924-9990

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NPI Details

CERRITOS DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Cerritos, CA. CERRITOS DIALYSIS CENTER LLC NPI is 1649298522. The provider is registered as an organization entity type.

The provider's business location address is:

19222 PIONEER BLVD
CERRITOS, CA
ZIP 90703-601
Phone: (562) 924-9990
Fax: (562) 924-9955

The provider's authorized official is Gadsalli Ramaswamy Ravikumar .
The authorized official title is President/ceo and has the following contact phone number (714) 226-0818.

The CLIA number assigned to this NPI record is 05D0998714 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/29/2012.

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	930000982	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	CDC02896F	MEDICAID	CALIFORNIA
2	052896	MEDICARE PIN	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: 11/21/2025

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