FRESENIUS MEDICAL CARE GLENDALE, LLC (NPI# 1396111886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396111886 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE GLENDALE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE WEST GLENDALE |
| Practice Address |
623 S Central Ave Glendale CA 91204 |
| Mailing Address |
623 S Central Ave Glendale CA 91204-2008 |
| Practice Telephone | 8055843966 |
| Practice Fax Number | 8055843972 |
| Mailing Telephone | 8055843966 |
| Mailing Fax Number | 8055843972 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | MARK 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 |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | 552836 | 01 |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care West Glendale | Doing Business As Name - Organization |
| Street Address |
623 S CENTRAL AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| 1134492754 | Susan Catherine Traylor | Speech-Language Pathologist | 1420 South Central Ave, Glendale, CA 91204 | 2012-02-13 |
| Find all providers in zip 91204 | ||||
| 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 |
|---|---|---|---|---|
| 1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
| 1538666045 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 120, Glendale, AZ 85305-2512 | 2018-04-11 |
| 1538661483 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 210, Glendale, AZ 85305-2569 | 2018-03-07 |
| 1174043046 | Yards Dialysis LLC | Clinic/Center | 6850 San Fernando Rd, Glendale, CA 91201-1642 | 2017-06-22 |
| 1962888560 | Genesis Services, LLC | Clinic/Center | 7407 88th St, Glendale, NY 11385-7951 | 2015-08-05 |
| 1578947636 | Bio-medical Applications of Arizona LLC | Clinic/Center | 4407 W Peoria Ave, Glendale, AZ 85302-2036 | 2015-07-17 |
| 1437241403 | Glendale Nephrology Services, LLC | Clinic/Center | 1427 S Glendale Ave, Glendale, CA 91205-3313 | 2006-09-28 |
| 1598877490 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16844 N 59th Ave, Glendale, AZ 85306-1118 | 2006-08-31 |
| 1851403752 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5957 W Northern Ave Ste 108, Glendale, AZ 85301-7825 | 2006-08-31 |
| 1316970080 | Midwest Dialysis Center, Inc | Clinic/Center | 400 W Estabrook Blvd, Glendale, WI 53212-1079 | 2006-07-08 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE GLENDALE, 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.