PERITONEAL DIALYSIS CENTER OF AMERICA INC NPI 1750495669

NPI Information

NPI: 1750495669
Provider Name: PERITONEAL DIALYSIS CENTER OF AMERICA, INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 05D1086277
Address: 3112 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (323) 722-2053

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NPI Details

PERITONEAL DIALYSIS CENTER OF AMERICA, INC is an end-stage renal disease (esrd) treatment clinic center in Montebello, CA. PERITONEAL DIALYSIS CENTER OF AMERICA, INC NPI is 1750495669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3112 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640-217
Phone: (323) 722-2053
Fax: (323) 722-2063

The provider's authorized official is Pradip Cp Chowdhury .
The authorized official title is Vice President and has the following contact phone number (323) 371-4182.

The CLIA number assigned to this NPI record is 05D1086277 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 6/10/2025.

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	174400000X	Specialist				No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	A79279	OTHER	CALIFORNIA	KAVITHA KANAKARAJ, MD

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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