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TOTAL RENAL CARE EATON CANYON DIALYSIS CENTER PARTNERSHIP NPI 1699735845


NPI Information

NPI: 1699735845
Provider Name: TOTAL RENAL CARE EATON CANYON DIALYSIS CENTER PARTNERSHIP

Doing Business As: EATON CANYON DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D0972226

Address:
2551 E WASHINGTON BLVD
PASADENA, CA
ZIP 91107
Phone: (626) 798-8896
Get Directions

TOTAL RENAL CARE EATON CANYON DIALYSIS CENTER PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in Pasadena, CA. TOTAL RENAL CARE EATON CANYON DIALYSIS CENTER PARTNERSHIP NPI is 1699735845. The provider is registered as an organization entity type.
The provider Is Doing Business As Eaton Canyon Dialysis.

The provider's business location address is:

2551 E WASHINGTON BLVD
PASADENA, CA
ZIP 91107-446
Phone: (626) 798-8896
Fax: (626) 398-8279

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 05D0972226 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 7/25/2018.


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) Treatment930000337CALIFORNIAYes

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
11699735845MEDICAIDCALIFORNIA

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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