SYLMAR DIALYSIS LLC NPI 1871903385

NPI Information

  • NPI: 1871903385
  • Provider Name: SYLMAR DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 05D2080062
  • Address: 12151 SAN FERNANDO ROAD
    SYLMAR, CA
    ZIP 91342
  • Phone: (818) 465-9464

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NPI Details

SYLMAR DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Sylmar, CA. SYLMAR DIALYSIS LLC NPI is 1871903385. The provider is registered as an organization entity type.

The provider's business location address is:

12151 SAN FERNANDO ROAD
SYLMAR, CA
ZIP 91342-003
Phone: (818) 465-9464
Fax: (818) 367-0340

The provider's authorized official is Vinod M Assomull .
The authorized official title is Owner and has the following contact phone number (818) 321-5800.

The CLIA number assigned to this NPI record is 05D2080062 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2014 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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1552778MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
21871903385MEDICAIDCALIFORNIA

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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