TOTAL RENAL CARE INC (NPI# 1659780120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659780120 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE INC |
| Other Organization Name | AVALON DIALYSIS |
| Practice Address |
5807 Avalon Blvd Los Angeles CA 90011-5303 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3232332452 |
| Practice Fax Number | 3232332549 |
| Mailing Telephone | 6153416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
550003039 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1659780120 | 05 |
| Other Name | Type Code |
|---|---|
| Avalon Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1992358170 | Total Renal Care Inc | Clinic/Center | 1700 Markley St, Ste 122, Norristown, PA 19401-2902 | 2019-07-17 |
| 1760034599 | Total Renal Care Inc | Clinic/Center | 9431 Corkscrew Palms Cir, Estero, FL 33928-6275 | 2019-07-11 |
| 1225691447 | Total Renal Care Inc | Clinic/Center | 1115 N Nova Rd, Daytona Beach, FL 32117-4108 | 2019-04-15 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Total Renal Care Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | TOTAL RENAL CARE INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
5807 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619092475 | Arquetta Collins | Counselor | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2007-03-20 |
| 1487020681 | Luis Roberto Mora | Dietitian, Registered | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2015-08-11 |
| 1922380005 | Mariah Tuffy | Counselor | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-09-14 |
| 1619256708 | Ranateh Shaghoolian | Case Manager/Care Coordinator | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-08-08 |
| 1548549546 | Charly Paap | Case Manager/Care Coordinator | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-08-08 |
| 1376842336 | Norma Guerrero-lewis | Marriage & Family Therapist | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-03-16 |
| 1093022352 | Jasville Molina | Rehabilitation Practitioner | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2010-09-08 |
| 1245543743 | Zuleika Andrade | Social Worker | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2010-07-26 |
| 1205159035 | Jose Gonzalez | Rehabilitation Practitioner | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2010-03-08 |
| 1558515585 | Louis Hernandez | Rehabilitation Practitioner | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2008-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| 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 |
|---|---|---|---|---|
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1720630304 | Kpc Global Dialysis Center of Los Angeles LLC | Clinic/Center | 201 S Alvarado St Ste 220, Los Angeles, CA 90057-2388 | 2019-07-12 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| 1326544925 | Braddock Dialysis LLC | Clinic/Center | 11239 S Western Ave, Los Angeles, CA 90047-4848 | 2018-04-03 |
| 1205388246 | Fresenius Medical Care Ventures, LLC | Clinic/Center | 3705 S Labrea Avenue, Los Angeles, CA 90016-5309 | 2016-10-25 |
| 1629424726 | Downtown Dialysis LLC | Clinic/Center | 2511 W 3rd St, Los Angeles, CA 90057-1923 | 2016-05-06 |
| 1669839973 | Bio-medical Applications of California, Inc. | Clinic/Center | 3575 E Whittier Blvd, Los Angeles, CA 90023-1709 | 2016-01-19 |
| 1588031322 | Barnnyjepp, LLC | Clinic/Center | 1145 W 6th St, Los Angeles, CA 90017-1828 | 2015-08-27 |
| 1811235161 | Total Renal Care Inc | Clinic/Center | 1936 E 1st St, Los Angeles, CA 90033-3413 | 2013-01-22 |
| 1104111491 | Kidney Dialysis Center of Baldwin Hills LLC | Clinic/Center | 3705 S La Brea Ave, Los Angeles, CA 90016-5309 | 2011-06-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90011 |
Please comment or provide details below to improve the information on TOTAL RENAL CARE 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.