RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC (NPI# 1235202961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235202961 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC |
| Other Organization Name | RAI-GARDEN GROVE-GARDEN GROVE |
| Practice Address |
12555 Garden Grove Blvd Suite 100 Garden Grove CA 92843-1902 |
| Mailing Address |
12555 Garden Grove Blvd Suite100 Garden Grove CA 92843-1902 |
| Practice Telephone | 7147417255 |
| Practice Fax Number | 7147412029 |
| Mailing Telephone | 7147417255 |
| Mailing Fax Number | 7147412029 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | MR. MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS OF CALIFORNIA | 052617 | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZR0209Z | 01 |
| CA | CDC02617G | 05 |
| Other Name | Type Code |
|---|---|
| RAI-Garden Grove-Garden Grove | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821161597 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 17197 Newhope St, Suite A-d, Fountain Valley, CA 92708-4228 | 2006-11-17 |
| 1376616045 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 290 Hospital Cir, Westminster, CA 92683-3950 | 2006-11-17 |
| 1891868519 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 12761 Harbor Blvd, Garden Grove, CA 92840-5800 | 2006-11-17 |
| 1982777686 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 5714 E Olympic Blvd, Los Angeles, CA 90022-5115 | 2006-11-17 |
| 1285707984 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 535 East First Street, Tustin, CA 92780-3312 | 2006-11-17 |
| 1336212059 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 11859 Compton Ave, Los Angeles, CA 90059-2958 | 2006-11-17 |
| 1003989732 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 1210 Indiana Ct, Redlands, CA 92374-2896 | 2006-11-17 |
| 1558434282 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 1500 N Waterman Ave, San Bernardino, CA 92404-5111 | 2006-11-17 |
| Street Address |
12555 GARDEN GROVE BLVD SUITE 100 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682401 | Julie Hwynn | Internal Medicine | 12555 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1902 | 2005-07-07 |
| 1649713777 | Socal Pharmacy Inc. | Pharmacy | 12555 Garden Grove Blvd, Suite 102, Garden Grove, CA 92843-1902 | 2016-11-21 |
| 1518332980 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 12555 Garden Grove Blvd, Ste 100, Garden Grove, CA 92843-1902 | 2015-12-10 |
| 1841564143 | Hong-an Jan Md Inc | Clinic/Center | 12555 Garden Grove Blvd, #202, Garden Grove, CA 92843-1902 | 2012-03-05 |
| 1912203860 | Melissa K King Md Inc | Internal Medicine | 12555 Garden Grove Blvd, Suite 405, Garden Grove, CA 92843-1902 | 2011-02-09 |
| 1073819710 | Puneet K Chahal, M.d. Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1346546082 | Tuan V Ta Md Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1821306838 | T.r.rhee,m.d.inc | Specialist | 12555 Garden Grove Blvd, Suite 408, Garden Grove, CA 92843-1902 | 2010-09-24 |
| 1053579136 | Andrew H Ahn Md Professional Corporation | Surgery | 12555 Garden Grove Blvd, Suite 403, Garden Grove, CA 92843-1903 | 2008-05-27 |
| 1821256090 | Advanced Center for Urology Inc | Urology | 12555 Garden Grove Blvd, Ste. 405, Garden Grove, CA 92843-1902 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619397700 | Edisto Dialysis LLC | Clinic/Center | 13054 N Harbor Blvd, Garden Grove, CA 92843-1744 | 2014-04-16 |
| 1891868519 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 12761 Harbor Blvd, Garden Grove, CA 92840-5800 | 2006-11-17 |
| 1518332980 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 12555 Garden Grove Blvd, Ste 100, Garden Grove, CA 92843-1902 | 2015-12-10 |
| 1720453269 | Fresenius Medical Care Orange County LLC | Clinic/Center | 12761 Harbor Blvd, Garden Grove, CA 92840-5845 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.