NEWPORT SUPERIOR DIALYSIS, LLC (NPI# 1275876351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275876351 |
| Entity Type | Organization |
| Organization Name | NEWPORT SUPERIOR DIALYSIS, LLC |
| Practice Address |
510 Superior Ave Suite 150 Newport Beach CA 92663-3663 |
| Practice Telephone | 9495744733 |
| Practice Fax Number | 9495744743 |
| Mailing Telephone | 9495744733 |
| Mailing Fax Number | 9495744743 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | MARK R FAWCETT (SVP / 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 |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | 552755 | 01 |
| Street Address |
510 SUPERIOR AVE SUITE 150 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895180 | Lincoln Mackey Snyder | Surgery | 510 Superior Ave, Suite 200 G, Newport Beach, CA 92663-3663 | 2005-07-19 |
| 1851749048 | Danielle Grace Sorenson | Nurse Practitioner | 510 Superior Ave, Newport Beach, CA 92663-3663 | 2016-05-27 |
| 1487072989 | Emergency Surgical Associates, Apc | Surgery | 510 Superior Ave, Suite 200-g, Newport Beach, CA 92663-3663 | 2014-04-01 |
| 1356765465 | Joseph Michael Weiland | Family Medicine | 510 Superior Ave, Suite 200d, Newport Beach, CA 92663 | 2014-02-10 |
| 1578900809 | Sandeep K. Thakkar, D.o. | Psychiatry & Neurology | 510 Superior Ave, Ste. 200a, Newport Beach, CA 92663-3663 | 2013-05-28 |
| 1528330834 | Newport-irvine Surgical Specialists, A Professional Corporation | Surgery | 510 Superior Ave, Suite 200g, Newport Beach, CA 92663-3663 | 2012-02-01 |
| 1679884910 | Aditi Bhargava Springstubb | Internal Medicine | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2010-07-01 |
| 1679899033 | Ani Bergman Baghdassarian | Internal Medicine | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2010-04-10 |
| 1225366099 | Jeffrey James Sasser-brandt | Family Medicine | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2009-12-05 |
| 1962654780 | Julie L Palmisano | Pediatrics | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2008-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1679995948 | Walcott Dialysis LLC | Clinic/Center | 4300 Von Karman Ave, Newport Beach, CA 92660-2004 | 2014-01-06 |
| 1760608319 | Renal Research Institute LLC | Clinic/Center | 3333 W Coast Hwy, Suite 101, Newport Beach, CA 92663-4036 | 2007-04-18 |
| 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 | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on NEWPORT SUPERIOR DIALYSIS, 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.