WEST COAST DIALYSIS CENTER, INC. (NPI# 1457323677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457323677 |
| Entity Type | Organization |
| Organization Name | WEST COAST DIALYSIS CENTER, INC. |
| Practice Address |
3780 Kilroy Airport Way 110 Long Beach CA 90806-2457 |
| Mailing Address |
1 World Trade Ctr 2500 Long Beach CA 90831-0002 |
| Practice Telephone | 5629893010 |
| Practice Fax Number | 5629893016 |
| Mailing Telephone | 5624958075 |
| Mailing Fax Number | 5624958076 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JERRY GREEN (SECRETARY) |
| Authorized Official Telephone | 5624958075 |
| Is Organization Subpart | N |
| 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 | CDC02747F | 05 |
| Street Address |
3780 KILROY AIRPORT WAY 110 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317826 | Coast Nephrology Medical Group Inc. | Internal Medicine | 3780 Kilroy Airport Way, Ste 115, Long Beach, CA 90806-2458 | 2005-06-24 |
| 1245697325 | John Hsieh Md Inc | Internal Medicine | 3780 Kilroy Airport Way, 115, Long Beach, CA 90806-2457 | 2016-01-21 |
| 1639579675 | Thomas Russell II | Counselor | 3780 Kilroy Airport Way, Long Beach, CA 90806-2457 | 2014-08-27 |
| 1912211178 | Eiman Fouad Naguib | Nurse Practitioner | 3780 Kilroy Airport Way, Suite 110, Long Beach, CA 90806-2457 | 2010-07-29 |
| 1619152147 | West Coast Dialysis Center, LLC | Clinic/Center | 3780 Kilroy Airport Way, Suite 110, Long Beach, CA 90806-2457 | 2008-01-03 |
| 1982714762 | Vera Marie Bell | Psychologist | 3780 Kilroy Airport Way, Suite 370, Long Beach, CA 90806 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1912531377 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 2789 Long Beach Blvd, Long Beach, CA 90806-1519 | 2020-02-25 |
| 1043861172 | Total Renal Care Inc. | Clinic/Center | 1090 Atlantic Ave, Long Beach, CA 90813-3403 | 2019-09-20 |
| 1508116377 | Total Renal Care Inc | Clinic/Center | 5820 Downey Ave, Long Beach, CA 90805-4517 | 2012-09-19 |
| 1770843633 | Long Beach Quest Dialysis Center | Clinic/Center | 3140 Long Beach Blvd, Long Beach, CA 90807-5061 | 2012-05-24 |
| 1194969063 | Total Renal Care Inc | Clinic/Center | 101 18th St Se, Long Beach, WA 98631-2500 | 2009-04-23 |
| 1003024647 | Long Beach Dialysis Center LLC | Clinic/Center | 3744 Long Beach Blvd, Long Beach, CA 90807-3310 | 2007-05-18 |
| 1215032404 | Renal Treatment Centers California Inc | Clinic/Center | 1075 E Pacific Coast Hwy, Long Beach, CA 90806-5089 | 2006-09-13 |
| 1225140122 | Bio-medical Applications of Long Beach, Inc. | Clinic/Center | 440 W Ocean Blvd, Long Beach, CA 90802-4518 | 2006-08-31 |
| 1699887497 | Bio-medical Applications of California, Inc. | Clinic/Center | 145 W Victoria St, Long Beach, CA 90805-2162 | 2006-08-31 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on WEST COAST DIALYSIS CENTER, INC..
| 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.